Alopecia universalis associated with cutaneous T cell lymphoma

Mariya Miteva, Laila El Shabrawi-Caelen, Regina Fink-Puches, Christine Beham-Schmid, Paolo Romanelli, Francisco Kerdel, Antonella Tosti

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Alopecia areata-like hair loss may occur in the context of cutaneous T cell lymphoma (CTCL) and can very rarely evolve to alopecia universalis-like presentation. The dermoscopic findings of CTCL-related alopecia have not been described.

Methods: Two patients with alopecia areata universalis-like hair loss occurring in the context of preexisting, pathology-proven CTCL are presented.

Results: Clinical examination showed subtotal scalp alopecia with sparse fine hair or total scalp alopecia with loss of eyebrows, eyelashes and body hair. On dermoscopy there was follicular or diffuse scaling, reduced number of follicular openings with broken hairs, short hairs or keratotic filiform spicules. Pathology confirmed the diagnosis of CTCLrelated alopecia. One patient had almost complete hair regrowth after treatment.

Conclusion: CTCL-related alopecia universalis is a rare non-scarring form of hair loss which simulates alopecia areata universalis. We provide clues to distinguish both based on clinical, dermoscopic and pathologic findings.

Original languageEnglish
Pages (from-to)65-69
Number of pages5
JournalDermatology
Volume229
Issue number2
DOIs
StatePublished - Jan 1 2014

Fingerprint

Cutaneous T-Cell Lymphoma
Alopecia
Hair
Alopecia Areata
Scalp
Eyelashes
Dermoscopy
Pathology
Eyebrows
Alopecia universalis

Keywords

  • Alopecia
  • Dermatoscopy
  • Dermoscopy
  • Follicular mucinosis
  • Hair loss
  • Mycosis fungoides
  • Trichoscopy

ASJC Scopus subject areas

  • Dermatology

Cite this

Miteva, M., El Shabrawi-Caelen, L., Fink-Puches, R., Beham-Schmid, C., Romanelli, P., Kerdel, F., & Tosti, A. (2014). Alopecia universalis associated with cutaneous T cell lymphoma. Dermatology, 229(2), 65-69. https://doi.org/10.1159/000360759

Alopecia universalis associated with cutaneous T cell lymphoma. / Miteva, Mariya; El Shabrawi-Caelen, Laila; Fink-Puches, Regina; Beham-Schmid, Christine; Romanelli, Paolo; Kerdel, Francisco; Tosti, Antonella.

In: Dermatology, Vol. 229, No. 2, 01.01.2014, p. 65-69.

Research output: Contribution to journalArticle

Miteva, M, El Shabrawi-Caelen, L, Fink-Puches, R, Beham-Schmid, C, Romanelli, P, Kerdel, F & Tosti, A 2014, 'Alopecia universalis associated with cutaneous T cell lymphoma', Dermatology, vol. 229, no. 2, pp. 65-69. https://doi.org/10.1159/000360759
Miteva M, El Shabrawi-Caelen L, Fink-Puches R, Beham-Schmid C, Romanelli P, Kerdel F et al. Alopecia universalis associated with cutaneous T cell lymphoma. Dermatology. 2014 Jan 1;229(2):65-69. https://doi.org/10.1159/000360759
Miteva, Mariya ; El Shabrawi-Caelen, Laila ; Fink-Puches, Regina ; Beham-Schmid, Christine ; Romanelli, Paolo ; Kerdel, Francisco ; Tosti, Antonella. / Alopecia universalis associated with cutaneous T cell lymphoma. In: Dermatology. 2014 ; Vol. 229, No. 2. pp. 65-69.
@article{6c8cdbca2d464f0286be8ee90690016e,
title = "Alopecia universalis associated with cutaneous T cell lymphoma",
abstract = "Background: Alopecia areata-like hair loss may occur in the context of cutaneous T cell lymphoma (CTCL) and can very rarely evolve to alopecia universalis-like presentation. The dermoscopic findings of CTCL-related alopecia have not been described.Methods: Two patients with alopecia areata universalis-like hair loss occurring in the context of preexisting, pathology-proven CTCL are presented.Results: Clinical examination showed subtotal scalp alopecia with sparse fine hair or total scalp alopecia with loss of eyebrows, eyelashes and body hair. On dermoscopy there was follicular or diffuse scaling, reduced number of follicular openings with broken hairs, short hairs or keratotic filiform spicules. Pathology confirmed the diagnosis of CTCLrelated alopecia. One patient had almost complete hair regrowth after treatment.Conclusion: CTCL-related alopecia universalis is a rare non-scarring form of hair loss which simulates alopecia areata universalis. We provide clues to distinguish both based on clinical, dermoscopic and pathologic findings.",
keywords = "Alopecia, Dermatoscopy, Dermoscopy, Follicular mucinosis, Hair loss, Mycosis fungoides, Trichoscopy",
author = "Mariya Miteva and {El Shabrawi-Caelen}, Laila and Regina Fink-Puches and Christine Beham-Schmid and Paolo Romanelli and Francisco Kerdel and Antonella Tosti",
year = "2014",
month = "1",
day = "1",
doi = "10.1159/000360759",
language = "English",
volume = "229",
pages = "65--69",
journal = "Dermatology",
issn = "1018-8665",
publisher = "S. Karger AG",
number = "2",

}

TY - JOUR

T1 - Alopecia universalis associated with cutaneous T cell lymphoma

AU - Miteva, Mariya

AU - El Shabrawi-Caelen, Laila

AU - Fink-Puches, Regina

AU - Beham-Schmid, Christine

AU - Romanelli, Paolo

AU - Kerdel, Francisco

AU - Tosti, Antonella

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Alopecia areata-like hair loss may occur in the context of cutaneous T cell lymphoma (CTCL) and can very rarely evolve to alopecia universalis-like presentation. The dermoscopic findings of CTCL-related alopecia have not been described.Methods: Two patients with alopecia areata universalis-like hair loss occurring in the context of preexisting, pathology-proven CTCL are presented.Results: Clinical examination showed subtotal scalp alopecia with sparse fine hair or total scalp alopecia with loss of eyebrows, eyelashes and body hair. On dermoscopy there was follicular or diffuse scaling, reduced number of follicular openings with broken hairs, short hairs or keratotic filiform spicules. Pathology confirmed the diagnosis of CTCLrelated alopecia. One patient had almost complete hair regrowth after treatment.Conclusion: CTCL-related alopecia universalis is a rare non-scarring form of hair loss which simulates alopecia areata universalis. We provide clues to distinguish both based on clinical, dermoscopic and pathologic findings.

AB - Background: Alopecia areata-like hair loss may occur in the context of cutaneous T cell lymphoma (CTCL) and can very rarely evolve to alopecia universalis-like presentation. The dermoscopic findings of CTCL-related alopecia have not been described.Methods: Two patients with alopecia areata universalis-like hair loss occurring in the context of preexisting, pathology-proven CTCL are presented.Results: Clinical examination showed subtotal scalp alopecia with sparse fine hair or total scalp alopecia with loss of eyebrows, eyelashes and body hair. On dermoscopy there was follicular or diffuse scaling, reduced number of follicular openings with broken hairs, short hairs or keratotic filiform spicules. Pathology confirmed the diagnosis of CTCLrelated alopecia. One patient had almost complete hair regrowth after treatment.Conclusion: CTCL-related alopecia universalis is a rare non-scarring form of hair loss which simulates alopecia areata universalis. We provide clues to distinguish both based on clinical, dermoscopic and pathologic findings.

KW - Alopecia

KW - Dermatoscopy

KW - Dermoscopy

KW - Follicular mucinosis

KW - Hair loss

KW - Mycosis fungoides

KW - Trichoscopy

UR - http://www.scopus.com/inward/record.url?scp=84911428101&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84911428101&partnerID=8YFLogxK

U2 - 10.1159/000360759

DO - 10.1159/000360759

M3 - Article

VL - 229

SP - 65

EP - 69

JO - Dermatology

JF - Dermatology

SN - 1018-8665

IS - 2

ER -