Alopecia Areata Ophiasic with Ciliary Madarosis in A Pediatric Patient: Case Report

Authors

  • Liliana Coromoto Rosales Ochoa Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State Author
  • Baudimar Jiménez Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State Author
  • Marilyn Dayana Rivero Bermúdez Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State Author
  • Sandra Carlina Vivas Toro Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State Author

DOI:

https://doi.org/10.47363/JDMRS/2025(6)179

Keywords:

Alopecia Areata, Ciliary Madarosis, Latanoprost, School Aged

Abstract

A 10-year-old girl presented to the dermatologist for hair and eyelash loss that began in March 2024, after grieving for the loss of her maternal grandmother. Physical examination revealed Fitzpatrick phototype IV/VI and a band-like alopecia in the temporo-occipital region, with partial madarosis on the left side. The Sabouraud sign was negative, and the traction test was positive. Trichoscopy revealed empty follicles, whiteheads, few blackheads, and vellus and regrown hairs. Onychoscopy revealed pitting in the nail plate of the fourth finger of the left hand. The trichogram showed dystrophic anagen and brush hairs at the distal end. Based on these findings, a diagnosis of infantile ophiastic alopecia areata with infantile ciliary madarosis was made. Paraclinical studies were within normal limits. The ophthalmological evaluation recommended 0.005% ophthalmic latanoprost, while the dermatologist prescribed treatment with oral corticosteroids (dexamethasone), 2% topical minoxidil, and clobetasol hair lotion. The child psychologist diagnosed post-traumatic 
stress disorder. After 56 days of treatment, trichoscopy revealed hair regrowth and eyelash regrowth on the left upper eyelid, demonstrating an excellent therapeutic response.

Author Biographies

  • Liliana Coromoto Rosales Ochoa, Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State

    Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. 
    Enrique Tejera Hospital City, Valencia, Carabobo State

  • Baudimar Jiménez, Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State

    Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. 
    Enrique Tejera Hospital City, Valencia, Carabobo State

  • Marilyn Dayana Rivero Bermúdez, Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State

    Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. 
    Enrique Tejera Hospital City, Valencia, Carabobo State

  • Sandra Carlina Vivas Toro, Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. Enrique Tejera Hospital City, Valencia, Carabobo State

    Second-year resident physician in the postgraduate program in dermatology. University of Carabobo – Dr. 
    Enrique Tejera Hospital City, Valencia, Carabobo State

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Published

2025-07-29

Issue

Vol. 6 No. 7 (2025): volume 6 Issue 7

Section

Articles