Two Cases of Linear Alopecia on the Occipital Scalp

Rhee, Chin-Ho; Kim, Seong–Min; Kim, Myung Hwa; Cinn, Yong Woo; Ihm, Chull Wan

doi:10.5021/ad.2009.21.2.159

Cited by 27 publications

(39 citation statements)

References 6 publications

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“…[34] The above presented cases represent a unique annular pattern not described before. We want to conclude that AA may present in any morphological pattern although the nature of the treatment and the response remains the same.…”

Section: Discussionmentioning

confidence: 89%

Annular alopecia areata: Report of two cases

2013

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Section: Discussionmentioning

confidence: 89%

Annular alopecia areata: Report of two cases

2013

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“…The histopathologic examination revealed a lobular lymphocytic panniculitis (100%) with mucin deposition (65%), hyaline fat degeneration (60%), basal vacuolization or thickening of basement membrane (20%), and epidermal changes of DLE (30%) . The infiltration by plasma cell (15%) and nodular lymphoid aggregation (15%) was also illustrated in Figure , while direct immunofluorescences (DIF) was positive in 20%, comprising of IgM, IgG, and C3 at basement membrane, and follicular epithelium as typical LEP .…”

Section: Discussionmentioning

confidence: 99%

“…Despite the appearance of LEP surface with DLE features, other scalp abnormalities could possibly be presented, including scarring alopecia (five cases, 25%), erythema (14 cases, 70%), induration (five cases, 25%), tenderness (six cases, 30%), mass (two cases, 10%), skin atrophy (two cases, 10%), and follicular papule (5%) . Although, there were 20% of the alopecia cases without other abnormal physical findings on the scalp.…”

Section: Discussionmentioning

confidence: 99%

Distinctive lupus panniculitis of scalp with linear alopecia along Blaschko's lines: a review of the literature

2018

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Lupus panniculitis of the scalp (LPS) is a rare and distinctive clinical feature of lupus erythematosus panniculitis (LEP) with linear alopecia along Blaschko's lines. In this study, we investigated clinical features and treatments of LPS by literature review of articles in the English language from PubMed and SCOPUS databases up to April 2018. The following key words, "lupus panniculitis, "lupus erythematosus panniculitis", "lupus profundus", "head", and "scalp", were used. Twenty cases of LPS were identified (mean age = 26.4 [10-53] years, female: male ratio = 1:1, mean disease duration = 86.89 [8-336] weeks). The most commonly affected areas of scalp included parietal (70%), frontal (45%), temporal (40%), occipital (30%), and vertex (10%), along 70% of Blaschko's lines with morphologic lesions linear, annular, arch-shaped, and ulcer. Besides, ANA (60%) was in particular noted. Hydroxychloroquine, oral prednisolone, intralesional corticosteroid, and methotrexate were the most common treatments, with complete response after an average period of 8.08 (2-12) weeks. Systemic lupus erythematosus (SLE) was developed in four cases (20%) during follow-up, with high recurrence of 35%. We reported distinctive and rare cases of LPS.The continuing follow-up was highly recommended to avoid probable recurrence and SLE development.

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“…Patchy AA is the most common form, and is usually circular or oval. Earlier authors have reported other patterns, such as rectangular, associated with malignancies including diffuse large B cell lymphoma,1 and linear, which was described to be a variant of lupus profundus 2. Only two cases of annular AA have been reported in the literature so far 3.…”

Section: Descriptionmentioning

confidence: 99%