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  • Title: Lipedematous scalp and lipedematous alopecia: a clinical and histologic analysis of 3 cases.
    Author: Martín JM, Monteagudo C, Montesinos E, Guijarro J, Llombart B, Jordá E.
    Journal: J Am Acad Dermatol; 2005 Jan; 52(1):152-6. PubMed ID: 15627100.
    Abstract:
    BACKGROUND: Lipedematous alopecia and lipedematous scalp are two similar unusual conditions mostly affecting healthy black women. OBJECTIVE: The purpose of our study was to report three cases of this condition with emphasis on clinical and histologic findings, and to review the literature on the subject. METHODS: The study includes clinical, echographic, and histologic findings of 3 patients, complemented with a literature review. RESULTS: Two cases of lipedematous alopecia and one of lipedematous scalp in 3 white women had echographic confirmation of an increased subcutaneous layer. The presence of ectatic lymphatic vessels in the two cases with hair loss was particularly emphasized. CONCLUSIONS: Our findings suggest a lessened role of racial factors, but confirms the sex implications in these related conditions, and stress the potential significance of lymphangiectatic vessels in the development of alopecia in these patients.
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