Multiple carboxylase deficiency – total scalp and universal alopecia
Ped Derm 21:231–235, 2004; Ped Derm 16:95–102, 1999
Necrobiosis lipoidica diabeticorum (S)
Dermatologica
135:11–26, 1967
Orotic aciduria
Br Med J i:546–552, 1965
Osteoma cutis – scarring alopecia
BJD 146:1075–1080, 2002
Panhypopituitarism – loss of body hair
Ghatan p.165, 2002,
Second Edition
Phenylketonuria – fine sparse hypopigmented hair
Rook
p.2912, 1998, Sixth Edition
Phrynoderma (hypovitaminosis A)
Polycystic ovarian disease
Clin Endocrinol 30:459–464, 1989
Porphyria – congenital erythropoietic porphyria (S)
Rook
p.2595, 1998, Sixth Edition; porphyria cutanea tarda, variegate
porphyria, hepatoerythropoietic porphyria
Pseudoglucagonoma syndrome due to malnutrition
AD 141:914–916, 2005
Renal disease, chronic – uremia; sparse body hair
Ghatan
p.177, 2002, Second Edition
Scurvy
JAAD 41:895–906, 1999
Selenium – deficiency or excess
Ghatan p.294, 2002, Second
Edition
Telogen effuvium
AD 83:175–198, 1961
Vitamin D-dependent resistant rickets type IIA – autosomal
recessive; hair present at birth then lost in first 12 months
AD
141:343–351, 2005; Am J Med 77:805–811, 1984; congenital
rickets
Clin Dermatol 18:735–743, 2000; clinically and
histologically similar to atrichia with papular lesions
NEOPLASTIC DISEASES
Angiosarcoma
JAAD 38:837–840, 1998; (S) AD 116:683–686, 1980
Aplastic nevus – complete absence of skin appendages
Cutis
12:386–389, 1973
Basal cell carcinoma (S)
Basal cell nevus (linear basal cell nevus) – resemble
comedones; usually linear translucent telangiectatic papules,
may ulcerate; macular hypopigmentation, alopecia, cysts, striae
Cutis 46:493–494, 1990; BJD 74:20–23, 1962
Basaloid follicular hamartoma – solitary plaque of alopecia
BJD
146:1068–1070, 2002
Benign cephalic histiocytosis
Blue nevus – giant alopecic nodule (cellular blue nevus)
BJD
126:375–377, 1992
Cellular blue nevi
Ped Derm 14:199–203, 1997
Cylindroma
Eccrine sweat gland hamartoma
AD 99:478–493, 1969
Epidermal nevus (NS and S)
Rook p.2912, 1998, Sixth Edition
Epidermoid cyst
Generalized follicular harmatoma (
S) AD 131:454–8, 1995; AD
107:435–440, 1973; AD 99:478–493, 1969
Hair follicle hamartoma
BJD 143:1103–1105, 2000; follicular
hamartoma of the face with myasthenia gravis
Clin Exp Derm
6:283–289, 1981; JAAD 39:853–857, 1998
Lymphomas, including CTCL (S)
JAAD 47:914–918, 2002;
Hodgkin’s disease – due to rubbing, ichthyosiform changes,
endocrine dysfunction, cellular infiltration
Rook p.2393, 1998,
Sixth Edition; pilotropic CTCL JAAD 48:448–452, 2003;
subcutaneous panniculitis-like T-cell lymphoma mimicking
alopecia areata
BJD 147:785–788, 2002
Melanocytic nevus
Textbook of Neonatal Dermatology, p.495, 2001
Meningioma, congenital – nodule with overlying alopecia or
hypertrichosis
JAAD 46:934–941, 2002; Eur J Pediatr Surg
10:387–389, 2000; primary cutaneous meningioma – overlying
alopecia
Cancer 34:728–744, 1974
Metastatic tumors (S) (alopecia neoplastica) – breast, lung,
kidney the most common
Rook p.2371,2709, 1998, Sixth
Edition; Cancer 19:162–168, 1966
Multicentric reticulohistiocytosis
JAAD 10:296–297, 1984
Myeloma
Ghatan p.170, 2002, Second Edition
Nerve sheath myxoma
JAAD 16:209–211, 1987
Nevus psiloliparus – mesodermal nevus with paucity of hair and
excess fat tissue; appears in encephalocranial lipomatosis
Ped
Derm 22:206–209, 2005
Nevus sebaceus with or without malignancy (S)
BJD
82:99–117, 1970
Papular xanthoma
Porokeratosis of Mibelli (S)
Proliferating trichilemmal cysts and cicatricial alopecia
AD 107:435–438, 1973
Seborrheic keratosis
Squamous cell carcinoma (S)
Syringocystadenoma papilliferum
AD 71:361–372, 1955
Syringomas(S )
AD 116:843–844, 1980; JAAD 13:528–529, 1985
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