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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 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.
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The Patient is 18 years old Female hair loss, ? androgenetic alopecia ? telogen effluvium

Case posted by Dr. Iskander H. Chaudhry


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Robledo F. Rocha

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

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

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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Mark A. Hurt MD

Posted

Also favor areata, as most follicles are in telogen/catagen and the bulbs appear to be inflamed. In TE, there shouldn't be as many telogen follicles as I see here.

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Iskander H. Chaudhry

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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