RESUMO
It is well-known that coronary artery disease (CAD) is the most cause of death in all over the world and generally been considered as a disease of elderly people and occasionally middle-aged men. Emerging data displays an important sex-based difference in CAD. Therefore CAD in the female population especially in premenopausal women is still identified less often and is treated less aggressively compared to that in the male population. The incidence of CAD in women older than 65 years is similar to that in men. However It is generally acknowledged that the risk for CAD is very low in premenopausal women by the reason of protective effect of woman hormones. Herein we report acute myocardial infarction due to coronary artery dissection in a premenopausal women, and conceivable contribution of aortic coarctation.
RESUMO
Frontal fibrosing alopecia (FFA) is one of the primary cicatricial alopecia and is considered a variant of lichen planopilaris. This condition is characterized by a progressive recession of the frontal and temporal hairline, primarily in postmenopausal women. Only two cases have been reported in premenopausal woman worldwide. We report a case of FFA in a 45-year-old female in her premenopausal age, who presented with multiple, small, bald spots on the bilateral frontotemporal area. Microscopically the lesion consisted of the inflammatory stage of lichen planopilaris and its cicatricial stage showing replacement of hair follicles by fibrous tissue. This was an additional case of frontal fibrosing alopecia in a premenopausal woman.