INTRODUCTION
Alopecia areata incognita is a rare
form of alopecia areata which was first reported in
1987. The prevalence of this disease is unknown
but it is more common in women. The usual
presentation of alopecia areata incognita is acute,
diffuse hair thinning. In most cases, it lacks the
typical alopetic patches seen in alopecia areata. It
may resemble telogen effluvium and androgenetic
alopecia. The prognosis of this disease is favorable
and recovery is rapid and spontaneous. Case: A 19-
year-old Filipino female presents with a two-month
history of alopecia areata incognita. She initially had
a solitary round patch of hair loss on the scalp with
proximally tapered hair, rapidly evolving into
diffuse hair thinning. CBC, TFTS, FBS, HBA 1 c, ANA
and VDRL were unremarkable. Histopathology
demonstrated dense peribulbar lymphocytic
infiltrate, miniaturized hair and increased catagen
hair consistent with alopecia areata. There was
gradual hair growth after treatment with minoxidil
5% lotion and topical betamethasone dipropionate
0.05% lotion.