Alopecic and aseptic nodule of the scalp in a girl

Pediatr Dermatol. 2017 Nov;34(6):697-700. doi: 10.1111/pde.13293. Epub 2017 Oct 16.

Abstract

Alopecic and aseptic nodule of the scalp is a rare entity characterized by the presence of nodules or cysts with sterile punctured material and negative cultures accompanied by nonscarring alopecia in the scalp of young men. We describe a case in which an 11-year-old girl presented with a nodular, fluctuant, round lesion on the vertex with localized alopecia. High-resolution ultrasound showed a hypoechoic lesion with increased flow on Doppler imaging and culture of the citrine-yellowish material obtained by puncture was negative. The patient showed complete clinical response to treatment with topical indomethacin.

Keywords: alopecia; aseptic nodule of the scalp; pseudocyst of the scalp.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Alopecia / drug therapy
  • Alopecia / etiology*
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage*
  • Child
  • Female
  • Humans
  • Indomethacin / administration & dosage*
  • Scalp / pathology
  • Scalp Dermatoses / complications
  • Scalp Dermatoses / drug therapy*
  • Ultrasonography

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Indomethacin