Clinical case of scarring alopecia: pseudopelades of Brocq

Objective — to analyze the clinical and trichoscopic manifestations in a patient with pseudopelades of Brocq, to choose the optimal treatment tactics, to prevent the development of atrophy.The clinical case of a patient with pseudopelades of Brocq is described. The diagnosis was established on the basis of clinical, trichoscopic manifestations of pseudopelades of Brocq and treatment was prescribed.Patient V., 46 years old, complained of hair loss. She fell ill 12 months ago. There is no reason to associate hair loss with anything. The patient has no subjective complaints, sometimes there is a slight burning sensation in the area of hair loss. Gradually, the area of hair loss increased in size.Examination data: on the scalp, in the crown area, there is a zone of hair loss, with irregularly shaped foci. The skin in the balding area is pale pink, smooth, tender, and atrophic. On the periphery of the foci, the hair and skin are not changed. In the affected areas, hair is easily removed along the periphery of the foci.The balding areas resemble foci of flame and are located asymmetrically. There are no clinical signs of inflammationTrichoscopy of the pathological area shows the absence of follicular openings, smooth white zones, and branched vessels.The patient was prescribed a peripheral vasodilator and B vitamins. A corticosteroid lotion and shampoo were prescribed for a sensitive scalp.3 weeks after the start of treatment, hair loss stopped. The area of loss did not increase, and no new ones appeared. During the next 4 weeks, positive clinical dynamics were noted. Conclusions. It is important to diagnose pseudopelades of Brocq in the early stages in order to prescribe adequate treatment that prevents the development of atrophy, track the course of the process in dynamics and assess the effectiveness of the therapy.