Alopecia, as a manifestation of Hodgkin disease, is a rare occurrence. It may be due to infiltration and follicle destruction by the disease, or it may be a secondary "toxic" manifestation.
The patient had marked alopecia of the scalp several months before any other signs and symptoms of the disease had appeared. The hair loss was characterized as a telogen effluvium. Other cases in the literature regarding hair loss and Hodgkin disease are discussed.