title: Lipedematous scalp and lipedematous alopecia: a clinical and histologic analysis of 3 cases.
abstract: BACKGROUND
  Lipedematous alopecia and lipedematous scalp are two similar unusual conditions mostly affecting healthy black women.
  
  
  OBJECTIVE
  The purpose of our study was to report three cases of this condition with emphasis on clinical and histologic findings, and to review the literature on the subject.
  
  
  METHODS
  The study includes clinical, echographic, and histologic findings of 3 patients, complemented with a literature review.
  
  
  RESULTS
  Two cases of lipedematous alopecia and one of lipedematous scalp in 3 white women had echographic confirmation of an increased subcutaneous layer. The presence of ectatic lymphatic vessels in the two cases with hair loss was particularly emphasized.
  
  
  CONCLUSIONS
  Our findings suggest a lessened role of racial factors, but confirms the sex implications in these related conditions, and stress the potential significance of lymphangiectatic vessels in the development of alopecia in these patients.
authors.affiliation: Department of Dermatology, Hospital Clínico Universitario de Valencia, Spain. jmMart@eresmas.com <jmMart@eresmas.com>
authors.forename: José M
authors.initials: JM
authors.lastname: Martín
authors.forename: Carlos
authors.initials: C
authors.lastname: Monteagudo
authors.forename: Encarnación
authors.initials: E
authors.lastname: Montesinos
authors.forename: Jorge
authors.initials: J
authors.lastname: Guijarro
authors.forename: Beatriz
authors.initials: B
authors.lastname: Llombart
authors.forename: Esperanza
authors.initials: E
authors.lastname: Jordá
mesh_terms: D000273:Adipose Tissue / Q000473:pathology*; D000368:Aged; D000505:Alopecia / Q000473:pathology*; D005260:Female; D006801:Humans; D008200:Lymphangiectasis / Q000473:pathology; D008875:Middle Aged; D012535:Scalp / Q000473:pathology*; D044465:White People