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

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

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

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.

Alopecia areata. Very classic findings

Agree!

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!