Patchy hair loss including bacterial demodex, or ringworm infection, or hormonal diseases such as hypothyroidism and Cushing's disease. These diseases should be ruled out by appropriate testing. Skin biopsy of affected areas shows dysplastic (abnormally shaped) hair follicles which are filled with keratin.
Cushing's disease results from excessive production of cortisol, a hormone normally produced by the adrenal glands. This excessive cortisol production can result from abnormalities in the pituitary gland that cause excessive hormone secretion by the adrenal glands, by tumors within the adrenal glands themselves, or by a combination of these factors.
Single to multiple raised, hairless, lobulated white to pale pink skin or sometimes pigmented skin masses which may ooze an oily white material. Masses range in size from ¼” – 1” in diameter.