Diagnostic Value of Dermoscopic Findings of Hair and Scalp in Cicatricial Alopecia
Journal Title: Journal of Clinical and Investigative Dermatology - Year 2018, Vol 6, Issue 2
Abstract
Background: Cicatricial Alopecias are a group of uncommon hair loss disorders, which are characterized by permanent destruction of hair follicles. Dermoscopy is a recent enlightening tool in the dermatological diagnostic field. Objective: To evaluate the dermoscopic findings of Cicatricial Alopecia and the possibility of utilizing dermoscopy for assessment of Cicatricial Alopecia Patients and Methods: Thirty patients with Cicatricial Alopecias were the subjects of this study. They were classified according to the clinicopathological diagnosis into: Discoid lupus erythematosus 10 cases (33.3%), lichen planopilaris 3 cases (10%), folliculitis decalvans 2 cases (6.7%), pseudopelade of brocq 2 cases (6.7%), acne keloidalis 3 cases (10%) and finally other secondary causes 10 cases (33.3%). The skin lesions were examined histopathologically to confirm the diagnosis and the lesions were examined dermoscopically. Results: The dermoscopic diagnosis of the patients proved the following diagnoses: Discoid lupus erythematosus 8 cases (26.7%), lichen planopilaris 3 cases (10%), acne keloidalis 3 cases (10%), folliculitis decalvans 2 cases (6.7%), undiagnosed 4 cases (13.3%), other secondary causes 10 cases (33.3%) and no cases diagnosed as pseudopelade of brocq. Conclusion: The dermoscope provides a practical and useful aid for the clinical diagnosis of different types of Cicatricial Alopecia.
Authors and Affiliations
Abdelshafy AS
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