Case Number : Case 536 Posted By: Guest

[b]Dr Richard Carr - Warwick (UK) Wrote:[/b]

Lichen planopilaris it is. Not much trouble here this looks like a textbook classical case. I like image 4 particularly with the compact keratin and wedge-shaped hypergranulosis, little Max Joseph space and squamatisation (lost basal layer) and obviously active lichenoid inflammatory process entirely limited to the follicles. Note the infiltrate in LPP can extend quite deeply around the follicles. Really there is not much here to suggest DLE (i.e. no epidermal changes extra-follicular inflammation, basement membrane prominence). The follicular hyperkeratosis may be part of the lichenification in response to itch/rubbing or possibly an element of keratosis pilaris I suppose but on it's own I don't think we need to consider DLE in this particular case. I think summer has arrived finally in the UK but some interesting rain fall as well! Everywhere is very green. Regards to all.

[size=2]Submitted on 28/06/2012 17:38[/size]
[b]Lina Espinosa - PUJ (Bogota) Wrote:[/b]

Lichen planopilaris

[size=2]Submitted on 28/06/2012 14:53[/size]
[b]Juan Carlos Garcés - Hospital Luis Vernaza /Hospital Oncológico (Guayaquil Ecuador) Wrote:[/b]

lichen planopilaris vs discoid lupus

[size=2]Submitted on 28/06/2012 14:14[/size]
[b]Luis Fernando Cardenas Cardona - Centro Dermatologico de Cali (Cali, Colombia) Wrote:[/b]

Lichen planopilaris

[size=2]Submitted on 28/06/2012 13:50[/size]
[b]Engin Sezer - (Istanbul) Wrote:[/b]

Lichen pilanopilaris

[size=2]Submitted on 28/06/2012 13:33[/size]
[b]Rodrigo Restrepo - UPB/CES (Mdlln/COL) Wrote:[/b]

Lichen planopilaris

[size=2]Submitted on 28/06/2012 12:27[/size]
[b]Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:[/b]

lichen planopilaris vs discoid lupus

[size=2]Submitted on 28/06/2012 12:04[/size]
[b]I. Abdul-kadir (ST2 histopath) - York Hospital (UK) Wrote:[/b]

Lichen planopilaris versus folliculotropic DLE.

[size=2]Submitted on 28/06/2012 11:18[/size]
[b]Yüksel Okumuş - Bursa State Hospital (Turkey) Wrote:[/b]

Lichen planopilaris

[size=2]Submitted on 28/06/2012 11:16[/size]
[b]Hazem Hamed - Imperial College (London) Wrote:[/b]

Sorry I meant Though no mucin or plasma cells could be appreciated,.....

[size=2]Submitted on 28/06/2012 09:45[/size]
[b]Hazem Hamed - Imperial College (London) Wrote:[/b]

Lichen planopilaris. Though no mucin or plasma cells could not be appreciated, DLE can not be entirely ruled out and correlation with serology and immunofluorescence is advised.

[size=2]Submitted on 28/06/2012 09:44[/size]