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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 2163 - 24 September 2018 Posted By: Limin Yu

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Scalp biopsy. ?Alopecia. No other history given.


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Variation in follicle size,  miniature follicles and scant inflammation all suggest androgenetic alopecia (assuming that the biopsy is from frontal scalp or vertex. 

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Krishnakumar subramanian

Posted

follicular miniaturisation present  in 4 follicles. there is no inflammation

Androgenic alopecia

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That is not the best level to give a diagnosis of alopecia (scalp subcutaneous tissue), as many other disease can present with follicular miniaturization, but considering that there´s no more pictures or levels to analise we can assume that the best diagnosis here is androgenetic alopecia.

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Alice Roberts

Posted

Pattern alopecia based on sections provided. I correlate with clinical. Can see similar changes in telogen effluvium

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Dr. Richard Carr

Posted

I'd be tempted to say "Yes this could be alopecia, looks non-scarring"

Is this really the clinical history? If so the clinician might consider job??? 

I suspect I'm getting too old as has been implied.

Agree we'd want to level a bit just in case some more diagnostic features appear.

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