Case presentation A 35-year-old female with a history of obesity, gastritis, and depression presented with a chief complaint of hair loss. The patient reported that she had been experiencing progressive thinning of hair for about one year. Moreover, there was a negligible improvement with daily minoxidil 5% foam after three months. Physical examination - No acute distress with facial plethora and prominent truncal, facial, and nuchal adiposity. Skin examination - Diffuse nonscarring alopecia on the frontal scalp and vertex of the scalp and miniaturized hairs.
- Decreased density of temporal and occipital hairs. - Erythematous inflammatory papules and pustules on the face and mid to lower back, violaceous striae on the abdomen and axillae, and ecchymoses on the abdomen and extremities. - Facial hirsutism and patches of coarse hypertrichosis on the back. Magnetic resonance imaging - A…
