脂水肿性头皮伴脂水肿性脱发

A case of lipedematous scalp complicated by lipedematous alopecia

报告1例脂水肿性头皮伴脂水肿性脱发。患者女,53岁。因头皮增厚、头顶部弥漫性脱发、无明显不适3个月就诊。皮损组织病理检查示表皮大致正常,毛囊数量减少,毛囊周围及皮下脂肪层脂肪组织增生,阿新蓝染色阴性。B超检查示头顶部头皮厚度增加,皮下脂肪组织增厚。

A case of lipedematous scalp complicated by lipedematous alopecia is reported. A 53-year-old woman presented with a 3-month history of gradual swelling and diffuse hair thinning and alopecia, more prominent along the vertex and parietal regions. The biopsy from the vertex revealed a normal epidermis, with diffuse loss of hair follicles, subcutaneous tissue thickening that even extended to the dermis. Alcian blue stains revealed no mucin deposits. Echography showed thickening of subcutaneous tissue at the vertex region.