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Trichoscopy of cicatricial alopecia.
J Drugs Dermatol. 2012 Jun; 11(6):753-8.JD

Abstract

BACKGROUND

Trichoscopy is widely used in differential diagnosis of non-cicatricial alopecia.

OBJECTIVE

The aim of this prospective study was to identify possible characteristic trichoscopy patterns of diseases leading to primary cicatricial alopecia.

METHODS

Trichoscopy was performed in a total of 1,884 consecutive patients presenting with hair loss. In this group, 84 patients were diagnosed with cicatricial alopecia and 1,800 patients with non-cicatricial alopecia. Sixty healthy persons served as healthy controls. Trichoscopy was performed with the use of Fotofinder II videodermoscopy system. Following unique or characteristic features were identified: scattered dark-brown discoloration of the skin, large yellow dots and thick arborizing vessels in cutaneous (discoid) lupus erythematosus (n=20), tubular perifollicular scaling and elongated blood vessels in lichen planopilaris (n=28), minor perifollicular scaling in frontal fibrosing alopecia (n=19), tufted hairs with starburst pattern perifollicular hyperplasia in folliculitis decalvans (n=9) and large, "3D" yellow dots imposed over dystrophic hairs in dissecting cellulitis (n=8).

RESULTS

All patients with cicatricial alopecia trichoscopy showed white and milky-red areas lacking follicular openings. These features were not found in patients with non-cicatricial alopecia or healthy controls.

CONCLUSION

These results indicate that trichoscopy may be applied as a quick and non-invasive auxiliary method in differential diagnosis of diverse diseases leading to cicatricial alopecia, such as cutaneous lupus erythematosus, classic lichen planopilaris, frontal fibrosing alopecia, folliculitis decalvans, and dissecting cellulitis.

Authors+Show Affiliations

Department of Dermatology, Clinical Hospital of Ministry of Internal Affairs, Warsaw, Poland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22648224

Citation

Rakowska, Adriana, et al. "Trichoscopy of Cicatricial Alopecia." Journal of Drugs in Dermatology : JDD, vol. 11, no. 6, 2012, pp. 753-8.
Rakowska A, Slowinska M, Kowalska-Oledzka E, et al. Trichoscopy of cicatricial alopecia. J Drugs Dermatol. 2012;11(6):753-8.
Rakowska, A., Slowinska, M., Kowalska-Oledzka, E., Warszawik, O., Czuwara, J., Olszewska, M., & Rudnicka, L. (2012). Trichoscopy of cicatricial alopecia. Journal of Drugs in Dermatology : JDD, 11(6), 753-8.
Rakowska A, et al. Trichoscopy of Cicatricial Alopecia. J Drugs Dermatol. 2012;11(6):753-8. PubMed PMID: 22648224.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trichoscopy of cicatricial alopecia. AU - Rakowska,Adriana, AU - Slowinska,Monika, AU - Kowalska-Oledzka,Elzbieta, AU - Warszawik,Olga, AU - Czuwara,Joanna, AU - Olszewska,Malgorzata, AU - Rudnicka,Lidia, PY - 2012/6/1/entrez PY - 2012/6/1/pubmed PY - 2013/5/15/medline SP - 753 EP - 8 JF - Journal of drugs in dermatology : JDD JO - J Drugs Dermatol VL - 11 IS - 6 N2 - BACKGROUND: Trichoscopy is widely used in differential diagnosis of non-cicatricial alopecia. OBJECTIVE: The aim of this prospective study was to identify possible characteristic trichoscopy patterns of diseases leading to primary cicatricial alopecia. METHODS: Trichoscopy was performed in a total of 1,884 consecutive patients presenting with hair loss. In this group, 84 patients were diagnosed with cicatricial alopecia and 1,800 patients with non-cicatricial alopecia. Sixty healthy persons served as healthy controls. Trichoscopy was performed with the use of Fotofinder II videodermoscopy system. Following unique or characteristic features were identified: scattered dark-brown discoloration of the skin, large yellow dots and thick arborizing vessels in cutaneous (discoid) lupus erythematosus (n=20), tubular perifollicular scaling and elongated blood vessels in lichen planopilaris (n=28), minor perifollicular scaling in frontal fibrosing alopecia (n=19), tufted hairs with starburst pattern perifollicular hyperplasia in folliculitis decalvans (n=9) and large, "3D" yellow dots imposed over dystrophic hairs in dissecting cellulitis (n=8). RESULTS: All patients with cicatricial alopecia trichoscopy showed white and milky-red areas lacking follicular openings. These features were not found in patients with non-cicatricial alopecia or healthy controls. CONCLUSION: These results indicate that trichoscopy may be applied as a quick and non-invasive auxiliary method in differential diagnosis of diverse diseases leading to cicatricial alopecia, such as cutaneous lupus erythematosus, classic lichen planopilaris, frontal fibrosing alopecia, folliculitis decalvans, and dissecting cellulitis. SN - 1545-9616 UR - https://www.unboundmedicine.com/medline/citation/22648224/Trichoscopy_of_cicatricial_alopecia_ L2 - https://medlineplus.gov/dandruffcradlecapandotherscalpconditions.html DB - PRIME DP - Unbound Medicine ER -