Sensory Imbalance in Alopecia Mucinosa

Update on primary cicatricial alopecias

“…All ages are affected, 213,226,227 with onset as early as infancy. 226,228 Lesional pruritus, 211,219 dysesthesia, [229][230][231] and anhidrosis 216 may be present. Expression of clear, mucinous fluid from follicular ostia may be elicited with application of pressure 211,226 or from sites subjected to biopsy.…”

“…211,226 The lesions are usually pink or erythematous. 211,226,229 Numerous other morphologies have been reported. 211,226,232,[234][235][236][237][238][239][240] Described scalp presentations include erythematous, finely scaled tumors with patulous pores that feel like lipomas, 220 noninflamed alopecia areataelike patches 213,226,228 and arciform alopecia, 240 diffuse 218,226 and complete hair loss, 226,241,242 a scleroderma-like plaque, 226 and an erythematous, indurated crusted plaque associated with S aureus infection.…”

“…209,220,226,228,242 When the scalp is affected, the patient may complain of shedding 242 and results of the pull test may be positive. 229,242 Because affected hair shafts are prone to breakage, 229,242 alopecia mucinosa can present with a ''black dots'' sign resembling that seen in tinea capitis. 229 Both scarring and nonscarring alopecia are seen.…”

“…229,242 Because affected hair shafts are prone to breakage, 229,242 alopecia mucinosa can present with a ''black dots'' sign resembling that seen in tinea capitis. 229 Both scarring and nonscarring alopecia are seen. 211,220,242 In nonscarring cases, hair regrowth may lag by months after disease resolution.…”

Alopecia Mucinosa: Report of a Case and Review

“…11,12 Anesthesia and dysthesia of the plaques as well as exacerbation by light have been reported. [13][14][15] Alopecia mucinosa has been reported to occur along the lines of Blashko. 16 The histologic hallmark of alopecia mucinosa is the accumulation of mucin in the follicular epithelium and sebocytes of the affected pilosebaceous apparatus.…”