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Woman With New-Onset Boggy Scalp
Kay S. Kane, MD;
Theodore Kwan, MD;
Howard P. Baden;
Michael Bigby, MD
Harvard Medical School, Cambridge, Mass
Arch Dermatol. 1998;134:499-504.
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REPORT OF A CASE
A 49-year-old black woman presented with a 4-month history of new-onset diffuse scalp bogginess and irregularity. She first noticed gradual swelling of her scalp and slowed hair growth, with a few areas of frontal thinning. The swelling progressed to involve her entire scalp and was accompanied by a "crawly, wormlike" sensation but no pruritus or pain. During the 4-month period, she had been otherwise well. She reported no history of trauma, no new medications, and no accompanying systemic symptoms.
A complete skin examination revealed a remarkably thick, boggy, spongy scalp with three 2-cm circular areas of sparse hair growth across her frontal hairline (Figure 1). The scalp surface had no signs of inflammation or scarring. Hairs ranged from 0.5 to 2.0 cm in length. Microscopic examination of a hair pull and pluck revealed no morphological . . . [Full Text of this Article]
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