The hairline was preserved and the density of the hair over the occipital and vertex areas was relatively unaffected. Examination of the scalp revealed hairs of differing diameter, but no pustules or hair tufting. Many of the follicular orifices were dropped . Scalp biopsy showed a decreased number of follicles, which were distributed and extended to adjustable depths in the scalp irregularly. There were increased fibrous tracts but no significant perifollicular swelling .. A woman with bitemporal hair loss A woman has progressive hair loss over both temporoparietal regions of her scalp slowly.