Focal atrichia (+ itching)
Focal areas of hair loss are common in advanced stages of androgenetic alopecia. However, other conditions can often mimic this so called 'focal atrichia'.
The photo shows a patient with lichen planopilaris (a scarring alopecia) who has focal areas of complete hair loss. The slight amount of redness along with the itching and tenderness in the area is an indication that another cause besides androgenetic alopecia might be present. A biopsy confirmed the diagnosis of lichen planopilaris (LPP).
Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887