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[Lipedematous scalp with early onset].
Roberto Rheingantz da Cunha Filho1, Hiram Larangeira de Almeida, André Cartell
1Universidade Católica de Pelotas, Brasil. robertodermatologista@yahoo.com.br <robertodermatologista@yahoo.com.br>
Anais Brasileiros De Dermatologia
|May 14, 2010
Summary
Lipedematous scalp, a rare condition causing scalp thickening, was observed in a young female. Examination revealed scalp edema and lymphatic vessel changes, highlighting a rare pediatric case.
Area of Science:
- Dermatology
- Pathology
- Medical Imaging
Background:
- Lipedematous scalp is a rare condition characterized by unexplained scalp thickening and soft consistency.
- The exact etiology of lipedematous scalp remains unknown.
- This condition predominantly affects adult females, making pediatric cases exceptionally rare.
Observation:
- A 13-year-old female presented with pruritic, soft scalp thickening at the vertex.
- Affected area exhibited slow hair growth.
- Clinical examination revealed increased scalp thickness with a soft texture.
Findings:
- Anatomopathological examination demonstrated scalp edema, sparse mononuclear inflammatory perifollicular infiltrate, and ectatic lymphatic vessels.
- Ultrasonography confirmed significant thickening of the subcutaneous tissue in the affected scalp region.
- Histological findings suggest a component of lymphedema within the scalp tissue.
Implications:
- This case represents the second reported instance of lipedematous scalp in a patient under 18 years old.
- The findings contribute to understanding the potential presentation and pathological features of lipedematous scalp in pediatric populations.
- Further research into the pathophysiology and potential treatment modalities for pediatric lipedematous scalp is warranted.
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