ATRICHIA WITH PAPULAR LESIONS
By Gary M. White, MD
Atrichia with papular lesions is a rare autosomal recessive condition in which there is complete irreversible hair loss during the first months of life.
- Mutations on the human hairless gene (HR) in chromosome 8p12 are suspected.
- The term atrichia is reserved for the most dramatic and severe forms of hair loss, in particular, those characterized by absent hair follicles.
- In the past, patients have been misdiagnosed with alopecia universalis.
Alopecia within the first few months of life. Scalp, axillary, and pubic hair are affected. Most are devoid of eyebrows and eyelashes. Later in childhood, keratin-filled cysts may develop on the body.
A 3-year-old female with "poor hair growth." American Osteopathic College of Dermatology GR
A 28-year-old woman with no hair and bumps scattered elsewhere. Indian J Dermatol 2015;60:107
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