Alopecia Universalis Associated with Ulcerative Colitis and The Role of Azathioprine

Skin manifestations can herald, co-exist, or follow the evolution of inflammatory bowel disease (IBD).We report a middle-aged man with recent onset alopecia universalis and a history of intermittent diarrheal attacks for 6 jolly rancher filled gummies years.Colonscopy and biopsy sampling confirmed ulcerative colitis.Regrowth of hair was achieved by treating the patient with azathioprine and mesalamine.

Clinicians have to be aware that a multitude of skin manifestations with history of diarrhea usc trojans snapback hat can be an extraintestinal manifestation of IBD such as ulcerative colitis and this warrants further investigation.

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