{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T09:21:48Z","timestamp":1768209708894,"version":"3.49.0"},"reference-count":7,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>We present the case of a 95-year-old female patient who presented with erosions and scarring of the scalp, accompanied by long-term hair loss. Due to multiple comorbidities, she was treated with several medications, including zolpidem for insomnia. Clinical examination revealed scars and ulcers in the parietal region, along with diffuse age-related hair thinning. Histopathological analysis demonstrated scarring alopecia with features of local trauma. This case illustrates a rare instance of secondary cicatricial alopecia associated with zolpidem-induced complex sleep-related amnestic behavior. Detailed information on the patient\u2019s medication history was crucial for establishing the correct diagnosis.<\/jats:p>","DOI":"10.3390\/diagnostics15233074","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T10:34:01Z","timestamp":1764758041000},"page":"3074","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Zolpidem-Associated Dermatitis Artefacta\u2014An Unusual Cause of Cicatricial Alopecia"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8947-5675","authenticated-orcid":false,"given":"Martyna","family":"S\u0142awi\u0144ska","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof","family":"Sadko","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4067-2333","authenticated-orcid":false,"given":"Beata","family":"Zag\u00f3rska","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma\u0142gorzata","family":"Soko\u0142owska-Wojdy\u0142o","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e2024053","DOI":"10.5826\/dpc.1402a53","article-title":"Dermatitis artefacta: A retrospective descriptive study on 46 patients","volume":"14","author":"Ficca","year":"2024","journal-title":"Dermatol. Pract. Concept."},{"key":"ref_2","first-page":"10014","article-title":"Dermatitis artefacta: A challenging diagnosis","volume":"16","author":"Ciccarese","year":"2024","journal-title":"Dermatol. Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1192\/j.eurpsy.2021.1628","article-title":"Dermatitis artefacta and psychiatric illness: Brief review and case report","volume":"64","author":"Oliveira","year":"2021","journal-title":"Eur. Psychiatry"},{"key":"ref_4","first-page":"23","article-title":"Clinical considerations of sleep related amnestic behaviours associated with zolpidem","volume":"36","author":"Grzegorzewska","year":"2020","journal-title":"Pharmacother. Psychiatry Neurol. Farmakoter. W Psychiatr. I Neurol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/JCP.0000000000001026","article-title":"Zolpidem and Gender: Are Women Really At Risk?","volume":"39","author":"Greenblatt","year":"2019","journal-title":"J. Clin. Psychopharmacol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.sleep.2007.03.006","article-title":"Neuroimaging in sleep medicine","volume":"8","author":"Desseilles","year":"2007","journal-title":"Sleep Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.sleep.2021.09.005","article-title":"Efficacy and safety of Zolpidem in the treatment of insomnia disorder for one month: A meta-analysis of a randomized controlled trial","volume":"87","author":"Xiang","year":"2021","journal-title":"Sleep Med."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/23\/3074\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T10:56:40Z","timestamp":1764759400000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/23\/3074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,3]]},"references-count":7,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["diagnostics15233074"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15233074","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,3]]}}}