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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 1711 - 19 December - Dr Limin Yu Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Clinical History: 56 year old woman with hair loss

Case Posted by Dr Limin Yu


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Admin_Dermpath

Posted

Start your week off with this interesting Spot Diagnosis case from Dr Limin Yu.

 

Cheers, Geoff Cross - DermpathPRO Projects

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vincenzo polizzi

Posted

Perifollicular concentric fibrosis with persistent lymphocytic infiltrate that backs away, unaffected sweet glands, dermal scar, cleft between follicular and stroma, fit well LPP, late stage...

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Cicatricial alopecia with follicular fusion, follicular drop out, concentric fibrosis and dense lichenoid infiltrate. At the interface between the dermis and the subcutis we can see diminished follicular elements with many fibrous tracts and absence of inflamation around eccrine units. So I believe this is LPP or Frontal fibrosing alopecia, it depends on the clinical context.

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Dr. Mona Abdel-Halim

Posted

LPP vs FFA according to clinical correlation.

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Robledo F. Rocha

Posted

Lymphocytic scarring alopecia with perifollicular fibroplasia featuring concentric lamellar fibrosis that puts away the lymphocytic infiltrate from the follicle and also featuring mucinous fibrosis that makes a cleft between the follicular epithelium and the surround dermis. There’s no interfollicular dermal mucin nor widowed sebaceous gland. Lichen planopilaris or one of its clinical variants.

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Nitin Khirwadkar

Posted

Agree, lymphocytic scarring alopecia. DD: Lichen planus/FFA

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Arash Daryakar

Posted

Agree with LPP or FFA . mucinous fibroplasia and artifactual cleft around hair follicle,perifollicular lymphocytic infiltration,polytrichia,focal follicular drop out along with scar formation and some fibrous tracts are quite suggestive .

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Agree with profound respect!  This histologic ddx includes and  LPP vs FFA.  Clinically it fit LPP!

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