Images in Dermatology| Volume 131, ISSUE 8, P922-926, August 2018

At the Root: Cutaneous Langerhans Cell Histiocytosis

      Hair loss is of deep concern to patients, mainly because of its effect on appearance. On rare occasions, however, areas of balding can signal malignancy. A 33-year-old woman was referred to our dermatology clinic because of a 15-year history of scalp eruption accompanied by intense itching and progressive hair loss. Previously, she was diagnosed with seborrheic dermatitis associated with female androgenic alopecia. She was treated with topical steroids for numerous years without improvement, except for transient relief of itching. Five years prior to her referral to our clinic, she underwent surgery for an in situ melanoma of the leg. Otherwise, her past medical history was unremarkable.
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