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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

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Lipedematous scalp: a rare entity.

Ayşe Kavak¹, Deniz Yuceer, Umran Yildirim

¹Department of Dermatology, Duzce Medical School, Duzce University, Duzce, Turkey. ays_kavak@excite.com

The Journal of Dermatology

|February 15, 2008

Summary

Lipedematous scalp, a condition of scalp thickening without hair loss, was observed in a hypertensive patient. Sonographic monitoring revealed variable changes, highlighting this rare entity.

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Skin Biopsy for Diagnosing Discoid Lupus Erythematosus

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Published on: June 10, 2025

Area of Science:

Dermatology
Medical Imaging

Background:

Lipedematous scalp is defined by increased subcutaneous scalp thickness.
It presents without associated hair changes or alopecia.

Observation:

A 50-year-old female with hypertension presented with scalp thickening.
No other significant medical disorders were noted.
The patient exhibited no hair loss.

Findings:

Monthly sonographic measurements were performed without therapeutic intervention.
Sonography indicated a tendency for resolution in some scalp areas.
Other areas demonstrated increased scalp thickness during the observation period.

Implications:

This case highlights the variable presentation of lipedematous scalp.
Understanding its characteristics is crucial for accurate diagnosis.
Further investigation into this rare condition and its differential diagnoses is warranted.