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Successful surgical management of lipoedematous alopecia
Author(s) -
Yip Leona,
Mason Graham,
Pohl Miklos,
Sinclair Rodney
Publication year - 2008
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2007.00427.x
Subject(s) - scalp , medicine , dermis , subcutaneous tissue , hair follicle , vellus hair , dermatology , histology , scarring alopecia , debulking , anatomy , surgery , pathology , ovarian cancer , cancer , endocrinology
SUMMARY A 67‐year‐old Caucasian woman presented with an area of alopecia over the right occipital scalp, which had slowly expanded over the last 10 years. The skin beneath the alopecia felt soft and boggy although the epidermis looked unremarkable. Ultrasound showed thickening of the underlying subcutaneous tissue. Scalp histology showed enlarged fat lobules within the subcutis that infiltrated along fibrous tracts into the mid‐dermis. There was a complete loss of hair follicles. These findings were consistent with lipoedematous alopecia of the scalp. Surgical debulking with scalp reduction produced an acceptable result in our patient with no evidence of relapse after 12 months.