Dermoscopy guided scalp biopsy in cicatricial alopecia

Miteva, Mariya; Tosti, Antonella

doi:10.1111/j.1468-3083.2012.04530.x

Cited by 101 publications

(100 citation statements)

References 14 publications

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“…[41][42][43][44][45][46] To date, 1-2-mm pale dots, thought to represent fibrous tracts, have been reported on dermoscopic examination of the scalp of persons with afro-textured hair. 44 Although thought to be a sign of scarring (having been observed in both LPP and CCCA), these white dots have also been observed in the setting of nonscarring alopecia, such as AA and pattern hair loss.…”

Section: Dermoscopymentioning

confidence: 99%

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Hair and scalp disorders in women of African descent: an overview

2013

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Section: Dermoscopymentioning

confidence: 99%

“…Dermoscopy may aid in selecting the optimal biopsy site. 46 Under specific circumstances other biopsy sites may be chosen, e.g. areas of advanced disease in patients with FPHL to determine follicular density and thus likelihood of response to treatment.…”

Section: Investigationsmentioning

confidence: 99%

Hair and scalp disorders in women of African descent: an overview

2013

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“…In fact, it was previously suggested that two packs (compound follicular structures of 2 follicles) are a clue to the diagnosis of lymphocytic cicatricial alopecia on horizontal sections [10] . The presence of peripilar casts is a known dermatoscopic clue of classic LPP [11] , but the presence of compound hairs has only been described in one previous paper [11] , although it can be observed in the images of several reports [6,12] . One possible explanation is that in classic LPP, the fibrosis and inflammation have already destroyed part of the compound follicular structures found in early/subtle LPP.…”

Section: Discussionmentioning

confidence: 84%

Lichen Planopilaris in the Androgenetic Alopecia Area: A Pitfall for Hair Transplantation

Nusbaum

Pinto

Miteva

2015

Skin Appendage Disord

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Background: Classic lichen planopilaris (LPP) is a patchy form of primary lymphocytic cicatricial alopecia localized on the vertex of the scalp. It is important, however, to be aware of other, less recognized presentations that may be missed without dermatoscopy and pathology. Methods and Results: We report 26 patients with LPP presenting with subtle erythema and scaling colocalized in the area of patterned thinning (androgenetic alopecia, AGA). All patients had been treated for seborrheic dermatitis in the past. Dermatoscopy showed the presence of 2-4 hairs emerging as a tuft from the same ostium surrounded by erythema, peripilar casts and interfollicular scaling associated with hair miniaturization. Histopathology obtained from those areas corresponded to LPP with concomitant follicular miniaturization. Conclusion: Subtle or focal cases of LPP may be missed for seborrheic dermatitis when overlapping with AGA. Dermatoscopy-guided biopsy from the affected scalp is the best approach to make a timely diagnosis. This is particularly important in patients with AGA evaluated to undergo hair transplantation, as active LPP is a contraindication for these patients.

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“…Klasik, büyük, düzensiz beyaz benekler ise perifolliküler fibrozis alanlarını yansıtan, foliküler yıkımın bir göstergesi olarak kabul edilen trikoskopik bulgulardır (1-3). PSA'lar için tanımlayıcı olup en sık liken planopilariste (LPP) görülürler (1,3,10,12,13).…”

Section: Beyaz Beneklerunclassified

“…Ancak sağlıklı kişilerde de bu bulgu frontal bölgede %25 oranına varacak şekilde saptanabilir (8). PSA'larda erken fibroz bulgusu olarak yaygın sütlü-kırmızı renk değişikliği gözlenebilir, bu görünüm özellikle LPP'de saptanmaktadır (13). Turuncu benekler ise folikül ağızlarına uymayan, sarı beneklerden farklı olarak en az üç kat daha büyük patolojik olarak yüzeyel dermisteki granülomlara uyan renklenmelerdir.…”

Section: Perifoliküler Epidermisunclassified

Trichoscopy

Dicle¹

2015

tdd

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Trikoskopi (saç ve saçlı deri dermoskopisi) klinikte sık görülen saç hastalıklarının ayırıcı tanısında kullanılan değerli bir in vivo tanı yöntemidir. Yöntemde tanı, foliküler açıklıklar, kıl gövdeleri ve perifoliküler epidermis olmak üzere dermoskopla görülebilen temel yapıların değerlendirilmesine dayalıdır. Bu yöntem klinikte, erken androgenetik alopesi tanısında, androgenetik alopesi ve telojen efluvium ayırımında, yamasal alopesilerin ayırıcı tanısında ve skarlı alopesilerin skarsız alopesilerden ayrımında fayda sağlar. Bu makale, trikoskopide gözlenen temel yapısal özelliklere ait anormalliklerle ilgili şuanki bilgilerimizi ve sık görülen saç hastalıklarının karakteristik görünümlerini özetlemektedir. Anahtar kelimeler: Trikoskopi, dermoskopi, saç, alopesi, saç hastalıkları Çıkar Çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemiştir. Özlem Dicle Trikoskopi Trichoscopy Özet AbstractTrichoscopy (hair and scalp dermoscopy) is a valuable in vivo tool for the differential diagnosis of clinically frequent hair diseases. It is based on evaluation of basic structures that may be visualized with a dermascope; follicular openings, hair shafts and perifollicular epidermis. This method is useful to diagnose early androgenetic alopecia, to distinguish androgenetic alopecia from telogen effluvium, to make differential diagnosis of patchy alopecias and differentiate scarring from nonscarring alopecias. This article summarizes the current knowledge in abnormal appearances of basic structural components on trichoscopy and characteristic trichoscopic features of the most common hair diseases.

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Dermoscopy guided scalp biopsy in cicatricial alopecia

Abstract: The advantage of this method is that it is a fast, precise way to identify even individually affected follicles in early or focal cicatricial alopecia. It also allows for the morphologic characterization of particular follicular structures.

Cited by 101 publications

References 14 publications

Hair and scalp disorders in women of African descent: an overview

Hair and scalp disorders in women of African descent: an overview

Lichen Planopilaris in the Androgenetic Alopecia Area: A Pitfall for Hair Transplantation

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