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Saturday, January 28, 2017

A 38-year-old man presents with rapid hair loss that has occurred over the last few weeks.

A 38-year-old man presents with rapid hair loss that has occurred over the last few weeks. He reports that his father had a similar condition.
The picture is shown below:



The most likely diagnosis is
A) Alopecia areata
B) Androgenic alopecia
C) Tinea capitis
D) Trichotillomania
E) Secondary syphilis

The answer is
A. (Alopecia areata)

Discussion: Alopecia areata is associated with sudden hair loss that occurs in round patches. The patches are well circumscribed and are not associated with scarring or inflammation. Patients
have no other symptoms. The most common area affected is the scalp; however, the condition may also affect the eyebrows or beard. Alopecia areata usually affects children and young adults and is recurrent. A pathognomonic sign for alopecia areata is the “exclamation point” hair, which is wide distally and narrower at the base. These hairs are often found at the periphery of a patch of hair loss. Hair that regrows in the area of alopecia areata is in many cases white. Nail pitting may also be present.
The treatment consists of injection of intralesional steroids and topical steroids. Most experience complete regrowth of hair.

The following related article may be useful.

http://studymedicalphotos.blogspot.com/2015/05/a-32-year-old-man-presents-with-hair.html

5 comments:

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  2. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
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  4. Hello, I want to use this opportunity to thank a great doctor, a doctor Olta sepll caster who helped me to cure my (Alopecia) I was directed by a friend who received healing from him also. I almost lose hope in life when my friend told me about this great doctor who has healed many people from this sickness, I thought it will require many things but by the special grace of God everything was simple, now I am healed from (Alopecia) I am now a normal a human without no sickness. please my brothers and sisters if you are facing the same problem please remember to Contact Olta's spell caster for any kind of sickness HIV, cancer, etc For more info text or call (+1 424-644-1977) or email oltaspellcaster@live.com and WhatsApp ?+1 (862) 358-5989?

    ReplyDelete
  5. Hello, I want to use this opportunity to thank a great doctor, a doctor Olta sepll caster who helped me to cure my (Alopecia) I was directed by a friend who received healing from him also. I almost lose hope in life when my friend told me about this great doctor who has healed many people from this sickness, I thought it will require many things but by the special grace of God everything was simple, now I am healed from (Alopecia) I am now a normal a human without no sickness. please my brothers and sisters if you are facing the same problem please remember to Contact Olta's spell caster for any kind of sickness HIV, cancer, etc For more info text or call (+1 424-644-1977) or email oltaspellcaster@live.com and WhatsApp ?+1 (862) 358-5989?,

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