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• W2031131442 abstract "Resident in Internal Medicine, Mayo School of Graduate Medical Education, Mayo Clinic, Rochester, MN (N.M.L.); Fellow in Dermatopathology, Mayo School of Graduate Medical Education, Mayo Clinic, Rochester, MN (A.K.A.); Advisor to resident and fellow and Consultant in General Internal Medicine, Mayo Clinic, Rochester, MN (M.C.L.). A 31-year-old woman with a medical history notable for obesity (body mass index, 30.9) complicated by lymphedema, generalized anxiety disorder with panic attacks, chronic migraines, and asthma presented to the general internal medicine clinic for evaluation of diffuse alopecia. Her hair loss was first noted by her hairdresser, but it was dismissed as shedding from “seasonal changes.” However, over the subsequent 3 months, she gradually lost one-third of her total hair volume, prompting her to seek evaluation. She reported no use of new hair products, focal areas of hair loss, notable weight loss, major stressors, recent surgery or hospitalization, pregnancy, exposure to lice or scabies, trauma, or a personal history of alopecia or trichotillomania. She confirmed that she had started taking bupropion within the preceding 2 months for her migraines, with resultant mild anorexia and a 1.8-kg weight loss. Concurrently, she was experiencing newonset moderate fatigue. She had used an antidandruff shampoo for a 2-week trial without improvement. Her medications included an albuterol inhaler, amitriptyline, gabapentin, naratriptan, ondansetron, and verapamil. Her sister has a history of alopecia thought to be due to a thyroid disorder. Physical examination revealed diffuse thinning of the hair but no focal areas of hair loss or scarring. There was no erythema or scaling on the scalp andnohair shaft abnormalities, pustules, drainage, or crusting. Skin examination yielded normal findings with no rashes and preserved eyebrows, eyelashes, and body hair. She had no lymphadenopathy or thyroid abnormalities and no evidence of hirsutism or acne." @default.
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• W2031131442 date "2013-10-01" @default.
• W2031131442 modified "2023-10-16" @default.
• W2031131442 title "31-Year-Old Woman With Alopecia" @default.
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• W2031131442 doi "https://doi.org/10.1016/j.mayocp.2013.01.010" @default.
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