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Case Report: Scarring Alopecia After Scalp Avulsion
Nathan C Lorei1, John F Sullivan2, Robert P Lennon3
1Graduate Medical Education, Naval Medical Center Portsmouth, Portsmouth, VA 23708, USA.
Military Medicine
|May 7, 2021
Summary
Scalp avulsion, a severe traumatic injury, often occurs in regions with poor safety standards. This case highlights long-term physical and psychological effects, emphasizing the need for preparedness in austere environments.
Area of Science:
- Trauma surgery
- Global health
- Reconstructive surgery
Background:
- Scalp avulsion is a rare but severe traumatic injury.
- Incidence is higher in regions with inadequate infrastructure and safety regulations.
- This case report focuses on long-term sequelae and acute management strategies.
Observation:
- A case of scalp avulsion was observed during a humanitarian mission.
- The injury presented significant long-term functional, aesthetic, and psychological challenges.
- Immediate management in an acute setting was discussed.
Findings:
- Long-term sequelae include chronic pain, functional deficits, and aesthetic concerns.
- Psychological impact can persist for years post-injury.
- Preparedness for managing such injuries in austere environments is crucial.
Implications:
- Increased awareness of scalp avulsion, its risk factors, and treatment is needed.
- Clinicians in developed nations must be prepared for austere medical scenarios.
- Comprehensive care addressing physical and psychological aspects is essential for patient recovery.
