Presenter: Dustin Wilkes
Dermatology Program: St. Joseph Mercy Hospital
Program Director: Dr. Daniel Stewart
Submitted on: Oct 1, 2012
CHIEF COMPLAINT: A 3-year-old Caucasian female presented with her mother for one-week history of asymptomatic hair loss of the scalp. No family history of alopecia was noted.
Bilateral, symmetric patchy hair loss of the parietal scalp extending to the occipital scalp. There was a positive hair pull test (>6 hairs), which did not disturb the child. Eyebrow and eyelash hair was full and intact.
On light microscopy there was a ‘rumpled sock’ appearance of the cuticle near the bulb.
1. Loose Anagen Hair Syndrome
2. Alopecia Areata
3. Telogen Effluvium