Segmental heterochromia with calibre change: a rare sign of alopecia areata

    Thomas Harries, Matthew Harries
    TLDR Alopecia areata can cause rare changes in hair color and thickness.
    This document reports a rare presentation of alopecia areata (AA) where multiple hair shafts exhibit segmental heterochromia and changes in calibre. These pigmentary and calibre alterations indicate an intermittent low-level inflammatory process in diffuse AA, with phases of recovery during which the hair fibre returns to its normal state.
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