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December 1972


Arch Dermatol. 1972;106(6):915-916. doi:10.1001/archderm.1972.01620150093029

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Scarring Alopecia. Presented by Donald E. Suter, MD, AND Lawrence Adams, MD.  The patient was a 7-year-old girl with frontal bossing, abnormal dentition, thickened digits, and a progressive noninflammatory alopecia of several years' duration. An only child, she was delivered by section when her mother was 37 years old. The father was also an only child. "Trigonencephaly" was noted at birth. A diagnosis of ventricular septal defect was made, but surgery was refused. Bone age development was normal at 9 months. Results of intravenous pyelogram and ophthalmologic examinations were normal during the first year of life. Multiple cultures and potassium hydroxide examinations for fungi were negative. A biopsy specimen was consistent with cicatricial alopecia.

Discussion  Dr. Leo Indianer: The hair follicles and erector pili muscles are present. There is no true sclerosis, but there is inflammation. This is an inflammatory type of alopecia, but it has not yet reached the

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