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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 2593 - 15 June 2020 Posted By: Dr. Mona Abdel-Halim

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F-29, progressively enlarging area of cicatricial alopecia.


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Josie Bisi

Posted

Lichen planus pilares. Interface changes in the infundibular epithelium, with apoptotic cells, pigmentar incontinence, perifollicular clefts, concentric fibrosis and dense peri-infundibulum lymphocytic infiltrate.

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Krishnakumar subramanian

Posted

Dear sir

can we call it autoimmune scarring alopecia. this can be seen in both DLE and LPP. we need further IHC like CD123  studies or just report it as LPP with scarring alopecia

please let me know

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John Zhang

Posted

On 15/06/2020 at 21:27, Krishnakumar subramanian said:

Dear sir

can we call it autoimmune scarring alopecia. this can be seen in both DLE and LPP. we need further IHC like CD123  studies or just report it as LPP with scarring alopecia

please let me know

Agree LPP vs DLE. It will be helpful to see if there are other features for lupus, such as interface changes in the overlying epidermis, perivascular (not perifollicular) lymphocytic infiltrate, and deep dermal mucin. CD123 is a good idea!

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Dr. Mona Abdel-Halim

Posted

I apologize for not providing more images. This was a case of LPP. No other features of lupus. The perifollicular fibroplasia in the second image is also a good clue for LPP.

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Krishnakumar subramanian

Posted

Thanks a lot Dr

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