Case Report
 
Lipedematous scalp in a patient with ankylosing spondylitis
Maria Gabriela Lang1, Mauro Waldemar Keiserman2, Rodrigo Pereira Duquia3
1MD, Resident in Rheumatology at Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.
2MD, Associate Professor of Rheumatology at Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.
3MD, PhD, Adjunct Professor of Dermatology at Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre Rio Grande do Sul, Brazil.

Article ID: Z01201611CR10707ML
doi:10.5348/ijcri-2016119-CR-10707

Address correspondence to:
Maria Gabriela Lang
Av. Ipiranga, 6690/220
Porto Alegre, Rio Grande do Sul
Brazil, 90610-000

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How to cite this article
Lang MG, Keiserman MW, Duquia RP. Lipedematous scalp in a patient with ankylosing spondylitis. Int J Case Rep Images 2016;7(11):692–695.


Abstract
Introduction: The lipedematous scalp is a rare condition of unknown etiology characterized by diffuse increase of the fat layer in the subcutaneous tissue of the scalp.
Case Report: We described the case of a patient with ankylosing spondylitis treated with etanercept and prednisone, who develops diffuse thickening of the scalp associated with local pain, without improvement with analgesics and non-steroidal anti-inflammatory drugs. The previous cases reported described no clear association between comorbidities or medication use and development of this disease.
Conclusion: There is no effective treatment for this condition, but is reported the successful use of mycophenolate mofetil for lipedematous alopecia, variant of lipedematous scalp.

Keywords: Ankylosing spondylitis, Autoimmune disease, Lipedematous scalp, Scalp dermatoses


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Author Contributions
Maria Gabriela Lang – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mauro Waldemar Keiserman – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rodrigo Pereira Duquia – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Maria Gabriela Lang et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Maria Gabriela Lang is Resident at Department of Rheumatology at Pontífica Universidade Católica do Rio Grande do Sul. Her research interests include autoimmune diseases, systemic lupus erythematosus, spondyloarthropathies. She intends to pursue a fellowship in rheumatology after completing her residency.



Mauro Waldemar Keiserman is Associate Professor of Rheumatology at Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.



Rodrigo Pereira Duquia is Adjunct Professor of Dermatology at Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre Rio Grande do Sul, Brazil.