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August 1994

Alopecia in a 19-Month-Old Boy

Author Affiliations

Rush-Presbyterian-St Luke's Medical Center, Chicago, Ill

Arch Dermatol. 1994;130(8):1055-1056. doi:10.1001/archderm.1994.01690080121020

REPORT OF A CASE  A 19-month-old white boy was evaluated for erythematous papules and hair loss over the entire scalp of 4 to 5 months' duration. Erythematous papules of the scalp developed at about 15 months of age, followed by pronounced loss of hair. He had mild pruritus and was initially treated with 0.01% fluocinolone acetonide solution without improvement. He was in the 60th percentile for weight and 88th percentile for height. He had varicella at 7 months of age and a his- tory of recurrent otitis media. He was not receiving any medications. His father has androgenetic alopecia; otherwise, the family history was unremarkable for hair loss. The boy's 5-year-old brother had normal scalp hair.Examination of the scalp revealed 1- to 2-mm erythematous follicular papules and fractured hairs of variable lengths measuring 3 to 10 mm over the entire scalp (Figure 1). The eyebrows and eyelashes were normal.

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