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Pseudopelade of  Brocq

This is a pattern of hair loss that results due to scar formation in the scalp.  This pattern may be seen in many other skin diseases affecting the scalp hence these must be ruled out.

 The patient usually notices areas of hair loss that appears smooth, shiny with worsening at frequent intervals.  A classic description includes “foot prints in the snow” appearance.

 Skin biopsy will be required.

 Treatment

Topical steroids can be tried with unpredictable response.

 Intralesional steroids may also be tried