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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 882 - 5th November Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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The patient is a 46 year old white woman with a regressing frontal hairline with clinical perifollicular inflammation.

Case posted by Dr. Mark Hurt


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Guest Maria George

Posted

Most likely Frontal fibosing alopecia.
Things to be discussed are lichenplanopilaris, follicular MF, Lupus,...

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Sasi Attili

Posted

perifollicular lichenoid inflammation + mild/ early perifollicular fibrosis + history, in keeping with LPP= FFP.

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Guest Marwa Fawzy

Posted

[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]Frontal fibosing alopecia.[/size][/font][/color]

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Guest Romualdo

Posted

I agree with my colleagues: frontal fibrosing alopecia.

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Dr. Mona Abdel-Halim

Posted

The clinical presentation is of frontal fibrosing alopecia, pathological features are those of lichen planopilaris. It is said that frontal fibrosing alopecia is a form of lichen planopilaris affecting females mostly menopausal.

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Nice case. The clinical description is of a FFA.
The histopathologic pictures shows nice horizontal sections at the isthmus level with perifollicular inflamation and fibrosis composed basically of lymphocites. There´s no interfollicular fibrosis or neutrophils.
There´s lichenoid inflamation of the outer root sheath with some apoptotic bodies.

The first picture shows some follicular drop out. It is compatible with Lymphocytic fibrosing alopecia and the hole case is Frontal fibrosing alopecia.

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Guest Juan Carlos Garcés, Ecuador

Posted

Agree with frontal fibrosing alopecia

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Guest Saleem Taibjee

Posted

Agree, FFA. Worth inquiring if there are clinical features of Graham-Little syndrome.
I tend to give an indication of the degree of active inflammation versus burnt out follicular fibrosis in such cases to guide the clinician as to the merits of immunosuppressive treatment for individual cases.

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Guest Rodrigo Restrepo

Posted

F[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]rontal fibrosing alopecia[/size][/font][/color]

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Robledo F. Rocha

Posted

Interface lymphocytic scarring alopecia consistent with lichen planopilaris. Case history of a regressing frontal hairline indicates frontal fibrosing alopecia variant. Maybe the eyebrows are also involved.

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Guest Julio Salas

Posted

Great and very illustrative LPP FFA case.

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Mark A. Hurt MD

Posted

My diagnosis was frontal fibrosing alopecia. No information was given that would indicate Graham-Little-Piccardi-Lasseur Syndrome.

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