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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 1296 - 11 June Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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F45. Patch of scarring alopecia.

Case posted by Dr Richard Carr


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I see a lymphocytic scarring alopecia. There´s follicular drop out at the isthmus with perifollicular fibrosis and lichenoid infiltrate with a few necrotic keratinocytes. At the infundibulum level (picture 6) I can see a thick basement membrane around the infundibulum. Picture 3 also shows thick basement membrane and interface dermatitis. This is alopecia due to Discoid Lupus.

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Dr. Mona Abdel-Halim

Posted

Agree, beautifully demonstrated and perfectly described by Igor :-)

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Dr. Richard Carr

Posted

I also reported this as typical of discoid lupus and very nicely described by IgorSC. The basement membrane thickening is rather spectacular and very helpful in the distinction from lichen planopilaris.

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