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成年男性布罗克假性斑秃的揭示:一例罕见病例报告。

Unmasking pseudopelade of Brocq in male adult: a rare case report.

作者信息

Usama Bin Shabbir Muhammad, Afridi Faryal, Waheed Aiman, Alvi Rafia, Hamza Gul Muhammad, Wardak Abdul Baseer

机构信息

Pakistan Institute of Medical Sciences, Islamabad, Pakistan.

Rawalpindi Medical University and Allied Hospitals, Rawalpindi, Pakistan.

出版信息

Ann Med Surg (Lond). 2025 Jan 9;87(1):380-382. doi: 10.1097/MS9.0000000000002815. eCollection 2025 Jan.

Abstract

INTRODUCTION AND IMPORTANCE

Pseudopelade of Brocq originally describes asymptomatic, irregularly shaped patches of atrophic hair loss. It designates a rare, idiopathic, slow progressive cicatricial alopecia without evident signs of folliculitis or inflammatory changes. This dermatological disorder still needs further research into its pathogenesis and treatment. We hope this case report provides valuable insight and a significant addition to the research gap as it is common in females but rare in male patients, and serves as a starting point for additional inquiry regarding causal link and epidemiology of disease.

CASE PRESENTATION

The authors present a rare case of Pseudopelade of Brocq in a male adult patient. The patient initially presented with progressive hair loss, but later examination revealed multiple atrophic patches of hair loss in the vertex area without any signs of inflammation. Subsequently, the patient was treated with corticosteroids and showed improvement in disease progression.

DISCUSSION

The pathogenesis of the Pseudopelade of Brocq is not well defined. Diagnosing this clinical entity is challenging due to delayed presentation which leads to increased patient suffering, preventable complications like baldness, and economic burdens.

CONCLUSION

Pseudopelade of Brocq is a rare dermatologic manifestation. It is crucial to raise awareness among healthcare professionals regarding its delayed presentation to prevent its long-term complications.

摘要

引言与重要性

布罗克假性斑秃最初描述的是无症状、形状不规则的萎缩性脱发斑。它指的是一种罕见的、特发性的、缓慢进展的瘢痕性脱发,没有明显的毛囊炎或炎症变化迹象。这种皮肤病仍需要对其发病机制和治疗进行进一步研究。我们希望这例病例报告能提供有价值的见解,并极大地填补研究空白,因为它在女性中常见而在男性患者中罕见,且可作为对该疾病因果关系和流行病学进行更多探究的起点。

病例介绍

作者报告了一例成年男性布罗克假性斑秃罕见病例。患者最初表现为进行性脱发,但后来检查发现头顶区域有多个萎缩性脱发斑,无任何炎症迹象。随后,患者接受了皮质类固醇治疗,疾病进展有所改善。

讨论

布罗克假性斑秃的发病机制尚不明确。由于就诊延迟,诊断这一临床实体具有挑战性,并导致患者痛苦增加、出现如秃发等可预防的并发症以及经济负担。

结论

布罗克假性斑秃是一种罕见的皮肤表现。提高医护人员对其就诊延迟的认识以预防其长期并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09e/11918724/6c525b45b836/ms9-87-380-g001.jpg

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