TY - CHAP M1 - Book, Section TI - Alopecia Areata A1 - Usatine, Richard P. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A young woman presented to her physician with hair loss for 3 months. She is very worried that it will not grow back and that it might spread to other parts of her scalp. When she lifted her hair, one round area of hair loss was noted (Figure 195-1). The scalp was smooth, and there were no signs of scale or inflammation. Some fine white hairs were also seen growing in the area of hair loss. A few "exclamation point" hairs were also seen. The physician readily diagnosed alopecia areata (AA) based on the clinical exam. He attempted to reassure the young woman that her hair is already growing back and would likely regrow fully in the coming months. He also explained that the new hairs may be white at first but will regain their natural dark color. He also offered her the option of intralesional steroid injection of the involved scalp. The physician did explain that the intralesional steroid is not a guarantee of 100% resolution but may increase the speed and likelihood of recovery. The young woman chose to have the steroid injection because she did not want to take any chances of not regaining her hair. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - dermatology.mhmedical.com/content.aspx?aid=1164362626 ER -