Unilateral ciliary and superciliary madarosis.

Abstract

Madarosis is the loss of eyebrow or eyelashes. Alopecia of eyelashes is termed as ciliary madarosis (CM) and that of eyebrows is termed as superciliary madarosis. Madarosis has varied etiologies, alopecia areata being one of them. Differential diagnoses include trichotillomania, infections and telogen effluvium. Investigations are directed towards identifying the underlying cause with dermoscopy being a non-invasive tool. Treatment for alopecia areata in pediatric population includes mid-potency topical steroids which is safer, and bimatoprost. We present a 9-year-old female with a patch of hair loss over left eyebrow and upper eyelid since 6 months. Dermoscopic findings were vellus hair at periphery of eyebrow patch and complete loss of hair over eyelid. An excellent response was seen with only topical mid-potent steroids applied for 2 months without any adverse effects noted in skin or eyes. A rare and unique case of unilateral simultaneous presentation of alopecia areata in eyebrow and eyelashes not reported from India so far is highlighted.