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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 1788 - 05 April - Dr Hafeez Diwan 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: 26 year-old male with alopecia.

Case Posted by Dr Hafeez Diwan


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Cicatricial alopecia. We can see some follicular drop out on the isthmus. Picture one shows premature desquamation of the inner root sheath, which is a tip for CCCA. LPP can also shows these findings. No doubt CPC is necessary, but my first hypothesis is CCCA.

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Raul Perret

Posted

Agree with scarring alopecia. I favor lichen planopilaris

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Robledo F. Rocha

Posted

A hard case of a lymphocytic scarring alopecia, but I favor chronic cutaneous lupus erythematosus due to the presence of hyperkeratosis and plugging of the follicular ostia with keratotic material.

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Dr. Hafeez Diwan

Posted

 I went with lichen planopilaris.  The last image shows narrowing of the hair follicle.  The clinical impression was LPP.

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