Comment on: “Eyebrow and Eyelash Alopecia: A Clinical Review”

Primary NEAL and secondary NEAL occur when the tumor infiltrates the dermis and markedly reduces or eliminates the hair follicles secondary to the density of the neoplasm or neoplasm-related fibrosis [1-3]. Another patient, a 20-year-old woman, also presented with recurrent itching, dryness, thickening, and generalized brown pigmentation of her skin; she also had a similar distribution of hair loss affecting the scalp, axilla, suprapubic region, and lateral eyebrows that preceded the clinical lymphadenopathy and Hodgkin lymphoma diagnosis by more than 2 years [6]. Treatment of the associated neoplasm may result in resolution of the alopecia and growth of the eyebrow hair for some of the patients with NEAL.