Surg Cosmet Dermatol. 2025;17(0):1-4
INTRODUCTION: Temporal triangular alopecia (TTA) is a nonscarring, noninflammatory, permanent form of alopecia with an unknown etiology, often misdiagnosed as other types of alopecia.
CASE REPORT: A 27-year-old woman presented with triangular patches of alopecia in the temporal regions, resembling male pattern alopecia. Dermoscopy revealed normal follicular openings. Histopathological analysis showed only vellus follicles, with no telogen or terminal follicles, intact sebaceous glands, and no inflammatory infiltrate.
DISCUSSION: Dermoscopy is a valuable diagnostic tool, and histopathology may be performed in selected cases. There is no definitive treatment for TTA. Management options include topical minoxidil, hair transplantation, or surgical excision.
Keywords: Alopecia; Temporal Distribution; Hair Diseases.