Case 1460 28.1.16 (A. Bakshi) F 53 scaling, erythema, hair loss
Preserved follicular units with hardly any inflammation, argues against LPP. Sebaceous gland atrophy is a typical feature of psoriatic alopecia. Basophilic remnants of sebaceous glands surrounding follicles, a rather consistent feature and a good clue to the diagnosis. Marked telogen shift and surface epidermal changes complete the picture.
Case 2387 (R. Carr) M 65 alopecia
Shows striking atrophy of sebaceous glands.
Ref: Am J Dermatopathol 2008: 30: 93-100
Case 3046 (S. Taibjee) 67F punch biopsy vertex of scalp: hairloss ?lupus ?eczema ?psoriasis ?androgenetic alopecia
F 67 scalp biopsy for hair loss
Loss/atrophy of sebaceous glands with widespread basophilic glandular remnants. No significant scarring. Some miniturisation, so possibly concomitant androgenetic alopecia.
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