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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : CASE 4445 - 02 February 2024 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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54-year-old female with 4mm punch biopsy - R forearm. Perifollicular hyperpigmentation and scarring alopecia hairline, grey/brown macular discolouration face chest arm.


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Meenakshi Batrani

Posted

Lichen planus pigmentosus. It may be associated with lichen plano-pilaris or Frontal fibrosing alopecia

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vincenzo

Posted

Very interesting case. I didn’t know this lesion, but the comment below is very convincing: 

On 13/02/2024 at 07:11, Meenakshi Batrani said:

Lichen planus pigmentosus. It may be associated with lichen plano-pilaris or Frontal fibrosing alopecia

 

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Eman El-Nabarawy

Posted

Lichen planus pigmentosus is my thought too.

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Iskander H. Chaudhry

Posted

Thank you for your comments. 

The final diagnosis is:  Lichen Planus

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