Lipedematous alopecia of the scalp

Bianca Maria Piraccini, Stylianos Voudouris, Massimiliano Pazzaglia, Giulia Rech, Colombina Vicenzi, Antonella Tosti

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Lipedematous scalp is a rare disorder, mainly described in adult African-American females. We report 2 adult caucasian males with lipedematous scalp associated with androgenetic alopecia. Patients were studied by dermoscopy and histopathology; they were treated with finasteride 1 mg. In our patients, lipedematous scalp affected the occipital and the vertex areas and pathologically exhibited mild edema and thickening of the adipose subcutaneous layer. At videodermoscopy, lipedematous scalp areas showed linear areas of teleangiectasia within the scalp creases, possibly caused by compression of the superficial blood capillaries by the increased volume of the subcutaneous fat layer within the thickened scalp. Finasteride at a dose of 1 mg per day for 1 year induced mild improvement of androgenetic alopecia in one patient and stabilization of the disease in the other. The lipedematous scalps remain unchanged. Lipedematous scalp is apparently a rare disease even though the condition is probably underdiagnosed. As a matter of fact, we diagnosed lipedematous scalp in our patients during a clinical examination for androgenetic alopecia, which was the patients' complaint. The association of lipedematous scalp and androgenetic alopecia in our two patients appears to be coincidental.

Original languageEnglish
Article number6
JournalDermatology Online Journal
Volume12
Issue number2
StatePublished - Dec 1 2006
Externally publishedYes

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Alopecia
Scalp
Finasteride
Dermoscopy
Subcutaneous Fat
Rare Diseases
African Americans
Edema

ASJC Scopus subject areas

  • Dermatology

Cite this

Piraccini, B. M., Voudouris, S., Pazzaglia, M., Rech, G., Vicenzi, C., & Tosti, A. (2006). Lipedematous alopecia of the scalp. Dermatology Online Journal, 12(2), [6].

Lipedematous alopecia of the scalp. / Piraccini, Bianca Maria; Voudouris, Stylianos; Pazzaglia, Massimiliano; Rech, Giulia; Vicenzi, Colombina; Tosti, Antonella.

In: Dermatology Online Journal, Vol. 12, No. 2, 6, 01.12.2006.

Research output: Contribution to journalArticle

Piraccini, BM, Voudouris, S, Pazzaglia, M, Rech, G, Vicenzi, C & Tosti, A 2006, 'Lipedematous alopecia of the scalp', Dermatology Online Journal, vol. 12, no. 2, 6.
Piraccini BM, Voudouris S, Pazzaglia M, Rech G, Vicenzi C, Tosti A. Lipedematous alopecia of the scalp. Dermatology Online Journal. 2006 Dec 1;12(2). 6.
Piraccini, Bianca Maria ; Voudouris, Stylianos ; Pazzaglia, Massimiliano ; Rech, Giulia ; Vicenzi, Colombina ; Tosti, Antonella. / Lipedematous alopecia of the scalp. In: Dermatology Online Journal. 2006 ; Vol. 12, No. 2.
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