Clinical Correlation Between Alopecia Areata and Salmon Patches: A Case Series

Abstract

Alopecia areata (AA) has different clinical types moreover its severity can be predicted by the extra-follicular involvement such as nails, eyes, and salmon patch (SP) on the nape of the neck. As provided by previous authors the aim of this study was to determine whether the presence of a salmon patch on the midline of the nape of the neck and whether its size is related to the recurrence of AA after treatment withdrawal and a more severe prognosis. We report a case series of 24 patients with recurrent AA having congenital SP from March 2022 to April 2023 at Tripoli Central Hospital (TCH) and in a private clinic. We found that the majority of the cases were diagnosed with recurrent AA ophiasis (AAO) (n= 11, 45.8%) of which Ten (91%) of them were females and that can be interpreted as an indication of severity since AAO carries the risk of the worst prognosis. The other cases were AA Universalis (n=9, 37.5%), AA Totalis (n=2, 8.3%), and multiple patches AA (n=1, 4.2%). and 11 (45.8%) patients demonstrated large SP and Ten (41.7%) had a small SP. In some cases of SP areas, hair growth was noticed after the treatment. As an alternative in other cases, the areas of SP didn’t show hair growth compared to the other sites.