急性休止期脱发误诊为斑秃及雄激素性脱发1例  

A Case of Acute Telogen Effluvium Misdiagnosed as Alopecia Areata and Androgenetic Alopecia

作　　者：邹兴伟[1] 黄宇平[1] 蒋莎莉[1] 苏红[1] 

机构地区：[1]成都市第一人民医院皮肤科,四川成都610000

出　　处：《中国皮肤性病学杂志》2017年第9期1042-1043,共2页The Chinese Journal of Dermatovenereology

摘　　要：患者女,26岁。无明显诱因脱发7个月余。外院以"斑秃","雄激素性脱发"治疗,无效。脱发呈弥漫性,全头拉发试验阳性,实验室及皮肤组织病理学检查未见明显异常。诊断:急性休止期脱发。予烟酰胺、葡萄糖酸锌、叶酸营养支持治疗后拉发试验转为阴性,毛发已完全再生。A 26-year-old female had hair loss for 7 months, without any precipitating factors. She was diagnosed and treated as ＂androgenetic alopecia＂ or ＂alopecia areata＂ at local hospitals, with no improvement. The hair loss involved the whole head, and the hair-pulling test was positive. The laboratory and histopathological exams did not show any abnormalities. The diagnosis of acute telogen effluvium was made. The hair-pulling test became negative and hair regrew almost completely after the treatment with nicotinamide, zinc glnconate and folic acid.

关 键 词：急性休止期脱发 雄激素性脱发 弥漫性斑秃 

分 类 号：R758.71[医药卫生—皮肤病学与性病学]