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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 2299 - 5 April 2019 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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M45. Scalp biopsy for alopecia

Edited by Admin_Dermpath


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John Zhang

Posted

Increased telogen, categen and fibrous streamers. Prominent peribulbar inflammation. This is allopecia areata.

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Alex-Ventura-Leon

Posted (edited)

Yes, Agree. A peribulbar lymphocytic infiltrate whit some eos and a pseudo-sebaceous hyperplasia are compatible with Areata

Edited by Alex-Ventura-Leon

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Agree with above.

Swarm of bees peribulbar lymphocytic infiltrate is keeping with AA.

Peribulbar eosinophilic infiltrate is in keeping with AA.

But both should be almost diagnostic of Alopecia Areata.

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Meenakshi Batrani

Posted

Alopecia areata. Very classic findings

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Dr. Richard Carr

Posted

Well apologies for the late post. I had not seen a case with eosinophils as prominent as this before but have to say rarely get such classic features of alopecia areata anyway. It prompted me to read up and check the literature and of course it's well reported. Agree this case is a great example of the telogen/catagen shift seen in alopecia areata the the numerous follicular streamers indicative of follicles in telogen above. 

I've been enjoying Florida although my golf was not up to scratch!

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