PMC3595977_01
Initial presentation of alopecia on the scalp of an 11-year-old boy.
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Examination showed a healthy appearing male with a weight of 126 lb and a height of 4 ft 11 in, and a widespread papular eruption, with diffuse and scattered patches of alopecia on the scalp, and slight scaling (Figure 1).
Regrowth noted by provider and patient's mother after 6 weeks of griseofulvin.
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The patient returned on April 27, 2010, at which time the mother had noted mild improvement, and, on May 11, 2010, she reported some hair regrowth on the medication prescribed (Figure 2).
Patient's mother reported no further improvement in alopecia after 12 weeks of griseofulvin.
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The patient was seen again on October 27, 2010, with the previous culture of the scalp showing no growth, which was confirmed by the mother's observations (Figure 3).
(A-C). Worsening of alopecia seen in three different areas on the scalp at follow-up approximately 1 year after initial visit.
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On March 23, 2011, extensive alopecia was noted on three areas of the scalp (Figure 4A-C), so a consultation was requested with an infectious disease consultant by one of the providers.