A 16-Year-Old Girl Is Brought to the Office Due to Hair

question 965

Multiple Choice

A 16-year-old girl is brought to the office due to hair loss.  Over the last few months, she has developed a few patches of hair loss on the scalp.  The lesions are associated with mild itching just before the loss of hair but are otherwise asymptomatic.  Medical history is unremarkable; the patient's only current medication is an oral contraceptive.  She does not use tobacco, alcohol, or illicit drugs.  Vital signs are normal.  Scalp examination findings are shown in the exhibit.  Which of the following is the most appropriate next step for this patient's hair loss?

• A)Cognitive behavioral therapy
• B)Discontinue oral contraceptive
• C)Intralesional triamcinolone
• D)Oral griseofulvin
• E)Reassurance and observation
• F)Topical minoxidil

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