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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1138 - 3rd November Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
The Patient is 18 years old Female hair loss, ? androgenetic alopecia ? telogen effluvium

Case posted by Dr. Iskander H. Chaudhry
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  Report Record
Go to records November 2014

User Feedback


Robledo F. Rocha

Robledo F. Rocha 336

Posted

I favor telogen effluvium because it is a non-scarring alopecia with increased number of terminal catagen and telogen hairs. Miniaturization of hair follicles is lacking. However, at low power view, I cannot exclude inflammatory infiltrate around folicular stelae and bulbs, a feature of alopecia areata.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Reduced anagen, increased catagen and telogen, I can perceive infiltrate around bulbs although the magnification is low. I favour AA.

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

Impressively elevated catagen/telogen fraction... especially in terminal hairs in the deepest sections. Inflammation is minimal. Given the clinical implication of diffuse hair loss in a young adult female, I agree with Robledo's impression of telogen effluvium.

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Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

[size=4][font=arial, sans-serif]Thank you everyone for your comments. The final diagnosis was alopecia areata, based on the clinical review and inflammation at the hair bulb. I hope you enjoyed the case.[/font][/size]

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