Presenter: Dustin Wilkes DO
Dermatology Program: St. Joseph Mercy Hospital
Program Director: Dr. Daniel Stewart
Submitted on: October 1, 2012
CHIEF COMPLAINT: Asymptomatic hair loss x 1 week
CLINICAL HISTORY: A 3-year-old Caucasian female presented with her mother for the one-week history of asymptomatic hair loss of the scalp. No family history of alopecia was noted.
PHYSICAL EXAM:
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.
LABORATORY TESTS: N/A
DERMATOHISTOPATHOLOGY:
On light microscopy, there was a ‘rumpled sock’ appearance of the cuticle near the bulb.
DIFFERENTIAL DIAGNOSIS:
1. Loose Anagen Hair Syndrome
2. Alopecia Areata
3. Telogen Effluvium
4. Trichotillomania
