Document Type

Article

Publication Date

11-1-2025

Comments

This article is the author's final published version in JAAD Case Reports, Volume 65, November 2025, Pages 77-79.

The published version is available at https://doi.org/10.1016/j.jdcr.2025.08.018. Copyright © 2025 The Author(s).

Abstract

Case description: A 37-year-old female with hemophagocytic lymphohistiocytosis presented with sudden onset hair loss that evolved over several hours during admission for neutropenic fever. Examination revealed a well-defined, tender, violaceous alopecic patch with intact follicular ostia (Fig 1). A punch biopsy showed ulcer with nonspecific changes. All fungal, bacterial, and mycobacterial stains were negative. During hospitalization, she was diagnosed with methicillin-resistant staphylococcus aureus (MRSA) bacteremia and discharged on intravenous daptomycin. She presented to the dermatology clinic 1 week later with worsening pain and hair loss, now with loss of follicular ostia.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

Supplemental Figure 1.jpg (373 kB)
Supplemental Figure 1

Supplemental Figure 2.jpg (318 kB)
Supplemental Figure 2

PubMed ID

41078409

Language

English

Included in

Dermatology Commons

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