1.An atypical case of a 14-year-old Filipino female with non-classical congenital adrenal hyperplasia presenting with alopecia universalis
Erwin John R. Aquino ; Aira Monica R. Abella ; Ma. Teresita G. Gabriel
Journal of the Philippine Dermatological Society 2022;31(2):41-43
Introduction:
Non-classical congenital adrenal hyperplasia (CAH) represents a group of inherited, autosomal recessive disor-
ders that typically presents with androgenetic alopecia, but may present with alopecia universalis on rare occasions.
Case report:
We report a case of a 14-year-old Filipino female with non-classical congenital adrenal hyperplasia presenting with
alopecia universalis, treated with a combination of Tretinoin and Minoxidil solution, low dose prednisone and an oral supplement
containing zinc gluconate, nicotinamide, superoxide dismutase, vitamin E and selenium, with noted gradual hair regrowth and
improvement in Dermatology Life Quality Index (DLQI).
Conclusion
Alopecia universalis in a patient diagnosed with non-classical congenital adrenal hyperplasia is a rare and atypical
manifestation, with no case reports available to describe its occurrence. Due to its rarity, there is no standard treatment for pa-
tients with this condition. However, the combination of tretinoin and minoxidil solution, low dose prednisone and an oral supple-
ment containing zinc gluconate, nicotinamide, superoxide dismutase, vitamin E and selenium shows promising results.
Minoxidil
;
Tretinoin

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