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KMID : 0032220150270010087
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Annals of Dermatology
2015 Volume.27 No. 1 p.87 ~ p.89
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Congenital Lipedematous Alopecia: Adding to the Differential Diagnosis of Congenital Alopecia
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Lee Hae-Eul
Kim Sue-Jeong
Im Myung
Kim Chang-Deok
Seo Young-Joon
Lee Jeung-Hoon
Lee Young
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Abstract
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Lipedematous alopecia is a rare condition of unknown etiol-ogy characterized by a thick boggy scalp with varying de-grees of hair loss. It is usually seen in adult African-American females, and a case in a 9-year-old was the youngest patient reported thus far. We report on the appearance of this con-dition in two children, a 6-year-old child and a 10-year-old child. Each presented with congenital patchy hair loss on the occipital area and the left temple. A boggy hairless scalp with soft swelling was detected in both patients. Histological ex-amination showed increased thickness of the subcutaneous fat tissue with a decrease in hair follicles. These features were consistent with a diagnosis of lipedematous alopecia. We re-port two cases of congenital lipedematous alopecia, which has not been reported previously. Although congenital, these distinct clinical features should be kept in mind in the diagnosis of alopecic hair loss. (Ann Dermatol 27(1) 87∼89, 2015)
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KEYWORD
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Alopecia, Congenital, Edema, Scalp, Subcutaneous fat
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