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Lipedematous scalp is characterized by abnormally thick subcutaneous tissue; when it is accompanied by hair loss, the condition is called lipedematous alopecia. Some hold these disorders to be distinct entities, while others consider them points on a spectrum of the same disease. Two groups of authors recently reported the cases of four patients with lipedematous scalp.
The first report details the conditions of three women whose scalps were thickened and spongy on the frontal, occipital, vertex, and parietal areas. These changes were more evident under palpation than on visual examination. Pressure applied to the skin of the scalp left a depression that reversed quickly upon removal of the force. Pruritus was common. The average normal scal…