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A Comparison of Vertical and Transverse Sections in the Histological Diagnosis of Alopecia Areata Scalp Biopsy Specimens.
Int J Trichology. 2016 Jul-Sep; 8(3):111-5.IJ

Abstract

CONTEXT

Both vertical and transverse sections are used for the diagnosis of alopecia areata. However when a single biopsy is submitted the pathologist has to decide which type is better.

AIMS

To compare the diagnostic histological features in vertical and transverse sections in alopecia areata scalp biopsy specimens.

SETTINGS AND DESIGN

Tertiary Care Hospital. Comparative Study.

MATERIALS AND METHODS

A total of 30 patients were enrolled in the study. Two four mm punch biopsy were taken. One was used to take vertical sections and the other for transverse section and histological features of alopecia areata noted in both.

STATISTICAL ANALYSIS USED

Chi-square test, percentage.

RESULTS

Diagnosis of alopecia areata could be made in 30 (100%) cases in transverse sections and 28 cases (93.3%) in vertical sections. The number of hair follicles available for evaluation was more in the transverse section. Nanogen follicles and miniaturization of follicles were better visualized in the transverse sections. However the catagen and telogen follicles were noted in both vertical and transverse sections but the number and the ratio of anagen and telogen hair follicles could be better assessed in the transverse sections. Presence of peribulbar lymphocytic infiltrate, eosinophils and pigment casts were noted in both transverse and vertical sections.

CONCLUSIONS

Transverse sections provide a better assessment of the histological features of alopecia areata than vertical sections and thus should be preferred.

Authors+Show Affiliations

Department of Pathology, University College of Medical Sciences and GTB Hospital, New Delhi, India.Department of Pathology, University College of Medical Sciences and GTB Hospital, New Delhi, India.Department of Pathology, University College of Medical Sciences and GTB Hospital, New Delhi, India.Department of Dermatology, University College of Medical Sciences and GTB Hospital, New Delhi, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27625562

Citation

Singh, Kanika, et al. "A Comparison of Vertical and Transverse Sections in the Histological Diagnosis of Alopecia Areata Scalp Biopsy Specimens." International Journal of Trichology, vol. 8, no. 3, 2016, pp. 111-5.
Singh K, Sharma S, Singh UR, et al. A Comparison of Vertical and Transverse Sections in the Histological Diagnosis of Alopecia Areata Scalp Biopsy Specimens. Int J Trichology. 2016;8(3):111-5.
Singh, K., Sharma, S., Singh, U. R., & Bhattacharya, S. N. (2016). A Comparison of Vertical and Transverse Sections in the Histological Diagnosis of Alopecia Areata Scalp Biopsy Specimens. International Journal of Trichology, 8(3), 111-5. https://doi.org/10.4103/0974-7753.188964
Singh K, et al. A Comparison of Vertical and Transverse Sections in the Histological Diagnosis of Alopecia Areata Scalp Biopsy Specimens. Int J Trichology. 2016 Jul-Sep;8(3):111-5. PubMed PMID: 27625562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Comparison of Vertical and Transverse Sections in the Histological Diagnosis of Alopecia Areata Scalp Biopsy Specimens. AU - Singh,Kanika, AU - Sharma,Sonal, AU - Singh,Usha Rani, AU - Bhattacharya,Sambit Nath, PY - 2016/9/15/entrez PY - 2016/9/15/pubmed PY - 2016/9/15/medline KW - Alopecia areata KW - histopathology KW - horizontal section KW - vertical section SP - 111 EP - 5 JF - International journal of trichology JO - Int J Trichology VL - 8 IS - 3 N2 - CONTEXT: Both vertical and transverse sections are used for the diagnosis of alopecia areata. However when a single biopsy is submitted the pathologist has to decide which type is better. AIMS: To compare the diagnostic histological features in vertical and transverse sections in alopecia areata scalp biopsy specimens. SETTINGS AND DESIGN: Tertiary Care Hospital. Comparative Study. MATERIALS AND METHODS: A total of 30 patients were enrolled in the study. Two four mm punch biopsy were taken. One was used to take vertical sections and the other for transverse section and histological features of alopecia areata noted in both. STATISTICAL ANALYSIS USED: Chi-square test, percentage. RESULTS: Diagnosis of alopecia areata could be made in 30 (100%) cases in transverse sections and 28 cases (93.3%) in vertical sections. The number of hair follicles available for evaluation was more in the transverse section. Nanogen follicles and miniaturization of follicles were better visualized in the transverse sections. However the catagen and telogen follicles were noted in both vertical and transverse sections but the number and the ratio of anagen and telogen hair follicles could be better assessed in the transverse sections. Presence of peribulbar lymphocytic infiltrate, eosinophils and pigment casts were noted in both transverse and vertical sections. CONCLUSIONS: Transverse sections provide a better assessment of the histological features of alopecia areata than vertical sections and thus should be preferred. SN - 0974-7753 UR - https://www.unboundmedicine.com/medline/citation/27625562/A_Comparison_of_Vertical_and_Transverse_Sections_in_the_Histological_Diagnosis_of_Alopecia_Areata_Scalp_Biopsy_Specimens_ DB - PRIME DP - Unbound Medicine ER -
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