pseudopelade

Etiology

• unknown

Epidemiology

• true prevalence unknown
• would appear to be common
• more common in whites
• more common in females
• onset most commonly 30-50 years of age

Clinical manifestations

• overall, slowly progressive coarse
  • develops over months to years
  • exacerbations with periods of dormancy may occur
  • disease progress eventually ends spontaneously
• asymptomatic areas of scalp hair loss
  • most commonly affects the vertex & parietal scalp
• resembles alopecia areata

Complications

• emotional distress

Management

• poor response to treatment
• no standard treatment
• for excerbation
  • topical glucocorticoids
  • hydroxychlorquine with or without oral prednisone

More general terms

• scarring alopecia; cicatricial alopecia