Abstract
<h3>To the Editor.—</h3> Alopecia neoplastica was discussed in theArchivesby Nelson (105:120, 1972). The following summary from my article about breast cancer may be of interest to your readers.<sup>1</sup> Metastases from breast cancers causing sclero-atrophic alopecia are rare but they show a family likeness: on the one hand, spherical shape, complete loss of hair, changes in the pilo-sebaceous orifices, depressions and discrete nodules; on the other hand, infiltration and adherence to the underlying tissues with an inflammatory look recalling lupus erythematodes. These characteristics, although transitory (usually a few months), seem to us to be enough, in a woman, to support the diagnosis of metastases and their mammary origin. These metastases usually change more or less rapidly in the direction of the two other types of secondary cancer, inflammatory, and nodular. From the histo-pathological point of view, it can be difficult formally to assert a mammary origin confronted with
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