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A healthy 15-year-old girl presented with a 4-year history of a linear patch of alopecia and a sunken-in appearance of the left side of the face. Physical examination showed a 6.0×1.5 cm hypopigmented, atrophic, hairless patch extending longitudinally from the forehead into the left frontal scalp and significant atrophy of the left temple and cheek (figure 1). Laboratory investigations, including antinuclear and antidouble-stranded DNA antibodies, were unremarkable. MRI of the brain revealed no abnormality. She was diagnosed with …
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