Zolpidem-Associated Dermatitis Artefacta—An Unusual Cause of Cicatricial Alopecia

We present the case of a 95-year-old female patient who presented with erosions and scarring of the scalp, accompanied by long-term hair loss. Due to multiple comorbidities, she was treated with several medications, including zolpidem for insomnia. Clinical examination revealed scars and ulcers in the parietal region, along with diffuse age-related hair thinning. Histopathological analysis demonstrated scarring alopecia with features of local trauma. This case illustrates a rare instance of secondary cicatricial alopecia associated with zolpidem-induced complex sleep-related amnestic behavior. Detailed information on the patient's medication history was crucial for establishing the correct diagnosis.