Case Number : Case 1788 - 05 April - Dr Hafeez Diwan Posted By: Guest

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LPP might be?

Cicatricial alopecia. We can see some follicular drop out on the isthmus. Picture one shows premature desquamation of the inner root sheath, which is a tip for CCCA. LPP can also shows these findings. No doubt CPC is necessary, but my first hypothesis is CCCA.

Agree with scarring alopecia. I favor lichen planopilaris

A hard case of a lymphocytic scarring alopecia, but I favor chronic cutaneous lupus erythematosus due to the presence of hyperkeratosis and plugging of the follicular ostia with keratotic material.

 I went with lichen planopilaris.  The last image shows narrowing of the hair follicle.  The clinical impression was LPP.