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Review
. 2005 Jan;52(1):152-6.
doi: 10.1016/j.jaad.2004.05.016.

Lipedematous scalp and lipedematous alopecia: a clinical and histologic analysis of 3 cases

Affiliations
Review

Lipedematous scalp and lipedematous alopecia: a clinical and histologic analysis of 3 cases

José M Martín et al. J Am Acad Dermatol. 2005 Jan.

Abstract

Background: Lipedematous alopecia and lipedematous scalp are two similar unusual conditions mostly affecting healthy black women.

Objective: The purpose of our study was to report three cases of this condition with emphasis on clinical and histologic findings, and to review the literature on the subject.

Methods: The study includes clinical, echographic, and histologic findings of 3 patients, complemented with a literature review.

Results: Two cases of lipedematous alopecia and one of lipedematous scalp in 3 white women had echographic confirmation of an increased subcutaneous layer. The presence of ectatic lymphatic vessels in the two cases with hair loss was particularly emphasized.

Conclusions: Our findings suggest a lessened role of racial factors, but confirms the sex implications in these related conditions, and stress the potential significance of lymphangiectatic vessels in the development of alopecia in these patients.

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