Abstract
semide and potassium therapy continued unchanged. This regimen was maintainedfor 1 month and resultedin partial resolution of her symptoms with no untowardeffects. The captopril dosage was increased to 25 mg orallyevery8 hours. Onemonth later she notedpruriticareas on the extremities as wellas some hair thinning. She deniedany changesin her hair management or the use of nonprescription medications. Examination revealed a morbilliform rash in the antecubital and popliteal fossae. Scalp hairs could be easily removed by plucking. Captopril was decreased to 12.5 mg orally every 8 hours. The patientreturned 1monthlater withresolution of the rash and pruritus, but severe alopecia was now apparent.She had large areasofcompletehair loss, exposing an erythematous, boggy, nontender scalp. Remaining hair was easily removed with light traction. Captopril was stopped. A complete blood count, includingplateletsand differential, wasnormal, Results of thyroid function studies(T3 resinuptake,and levels ofT4and thyroid-stimulating hormone) were normal. Spontaneous hair regrowth began I month after the captopril wasstopped. The patient isnowbeingtreatedwithfurosemide andpotassium only and no longerhaspruritus;her rash and alopecia haveresolved.
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