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Alopecia Cicatrisata. Presented by Dr. Richard J. Kelly.

C. E., a white woman aged 32, had noticed a loss of the hair of her scalp since the age of 15. She dates this loss of hair around the time her menses began. The menses have been regular. The family history contains nothing unusual. The patient's general health has been good. The major loss of hair had been over the vertex. At the present time, there are scattered tufts of hair surrounded by flat white scarred areas. There is no evidence of infection in the hair follicles. The blood count and basal metabolic rate were normal. The serologic reaction for syphilis was negative.

DISCUSSION

Dr. Joseph C. Amersbach: I am not certain of the diagnosis. I think that the diagnosis rests between lupus erythematosus and folliculitis decalvans. I should like to hear from Dr. Kelly as to whether there has been