Long‐Term Follow‐Up of Previously Reported Case of Trichomegaly Associated with Alopecia Areata in a 3‐Year‐Old Girl

To the Editor: We presented a case of trichomegaly associated with new-onset alopecia areata in anotherwise healthy 3-yearold girl in our case report in Pediatric Dermatology in 2009 (Figs. 1 and 2) (1). We have followed this patient through several exacerbations and remissions since then, noting that the lengthof her eyelashes has correlatedwith activity of her alopecia areata. After first presenting to our clinic with trichomegaly and alopecia areata, the patient was initiated on treatment with betamethasone foam and pimecrolimus cream. At follow-up 2 months later, significant regrowth of scalp hair along with normalizationof eyelash lengthwasnoted.Tenmonths later, she returned to our clinic with a recurrence of alopecia areata, as well as trichomegaly, similar to that at her initial presentation. The patient returned to clinic 2 months later with considerable scalp hair re-growth and normalization of eyelash length (Fig. 3A,B). The patient is continuing to experience scalp hair regrowth and normal short eyelashes bilaterally. As discussed in our report, cases of trichomegaly in the literature have been associated with various ophthalmic solutions and immunosuppressive agents, as well as acquired conditions such as human immunodeficiency virus, systemic lupus erythematosus, and dermatomyositis and rare inheritedconditions suchasOliver-McFarlane syndrome (2–5). Our patient remains the first, to our knowledge, to present with recurrent episodes of trichomegaly with alopecia areata in the absence of any known associated inherited disorder, medical condition, or medication exposures. Follow-up correlation of her alopecia areata