|Year : 2020 | Volume
| Issue : 3 | Page : 124-125
Brauer nevus of eyebrow: A rare entity
Sumir Kumar1, Priya Kapoor2, Narvinderjeet Kaur1
1 Department of Dermatology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
2 Department of Dermatology, All India Institute of Medical Sciences, Bathinda, Punjab, India
|Date of Submission||19-Jan-2020|
|Date of Acceptance||17-Jul-2020|
|Date of Web Publication||14-Aug-2020|
Dr. Priya Kapoor
Department of Dermatology, All India Institute of Medical Sciences, Bathinda, Punjab
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Brauer nevus presents as a local circumscribed area of noncicatricial alopecia. It usually involves the frontotemporal scalp. We report an unusual case of Brauer nevus involving the right eyebrow. Trichoscopy helps to confirm the diagnosis and differentiate this condition from other types of nonscarring alopecias. It also helps to avoid unnecessary diagnostic and therapeutic interventions.
Keywords: Brauer nevus, congenital triangular alopecia, eyebrow
|How to cite this article:|
Kumar S, Kapoor P, Kaur N. Brauer nevus of eyebrow: A rare entity. Int J Trichol 2020;12:124-5
| Introduction|| |
Brauer nevus or congenital triangular alopecia presents as nonscarring and noninflammatory focal alopecia, usually confined to the frontotemporal scalp. It is commonly noticed between 2 and 9 years of age but can occasionally present at birth. The term “congenital triangular alopecia” is considered imprecise as the condition is not always congenital, and varying shapes of alopecia have been observed. There are few reports of temporoparietal, vertex, and occipital scalp involvement. We report an unusual case of Brauer nevus of the right eyebrow. To the best of our knowledge, there are only two previous reports of Brauer nevus involving the eyebrow.
| Case Report|| |
An 8-year-aged girl presented to us with patterned alopecia of the right eyebrow since birth. She was born out of nonconsanguineous marriage. There was no history of trauma, traction, absence of skin at birth, or any instrumentation during delivery. The patch had remained static since birth. There was no family history of a similar disorder. On examination, there was triangular-shaped sparsening of hair in the middle of the right eyebrow of size 2.5 cm × 2 cm × 1.5 cm with a fringe of terminal hair at the superior margin [Figure 1]. There was no scarring, atrophy, erythema, or scaling on this patch. Hair pull test was negative. Trichoscopy showed vellus hair surrounded by a fringe of terminal hair [Figure 2]. There were no black dots, yellow dots, broken hair, or exclamation hair. Her general physical examination and previous medical record were normal. It was diagnosed as Brauer nevus or congenital triangular alopecia.
|Figure 2: Trichoscopy showing vellus hair surrounded by a fringe of terminal hair (DermLite DL4, ×10)|
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| Discussion|| |
Congenital triangular alopecia presents as a circumscribed triangular- or lancet-shaped area of nonscarring alopecia in the temporal area. It was first described in 1905 by Sabouraud and again defined by Brauer in 1926., It is likely that this is a hamartomatous mosaic disorder involving an abnormal epithelial-mesenchymal interaction. It may be misdiagnosed as alopecia areata, trichotillomania, or aplasia cutis.
Trichoscopy shows normal follicular openings and vellus hair surrounded by terminal hair. Histology shows the presence of vellus hair and the absence of mature hair, resembling miniaturized follicles seen in androgenetic alopecia.
Criteria for the diagnosis of congenital triangular alopecia include (1) triangular- or spear-shaped patch of alopecia present over the frontotemporal scalp; (2) normal follicles with vellus-type hair surrounded by terminal hair; (3) absence of black dots, yellow dots, fractured hair, or exclamation hair with normal follicular orifices; and (4) absence of significant hair growth 6 months after confirming vellus hair on dermoscopy. Therapeutic options for this condition include surgical excision, follicular unit transplantation, and topical minoxidil.
Our patient fulfilled the diagnostic criteria but had a unique site of involvement. There are only two previous reports of Brauer nevus involving the eyebrow., Diagnosing this entity is important to avoid unnecessary invasive diagnostic interventions and mistreatment with topical or intralesional steroids. This case adds on to the gamut of clinical presentations of congenital triangular alopecia.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot bechrological order guaranteed.
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Conflicts of interest
There are no conflicts of interest.
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