Dermoscopy in selected disorders of scarring alopecia

Authors

  • Md. Zeeshan Department of Skin & V.D., Patna Medical College and Hospital, Patna
  • RKP Chaudhary Department of Skin & V.D., Patna Medical College and Hospital, Patna
  • PK Roy Department of Skin & V.D., Patna Medical College and Hospital, Patna
  • Abhijeet Kumar Jha Department of Skin & V.D., Patna Medical College and Hospital, Patna

DOI:

https://doi.org/10.66344/jpad.v28i4.1184

Keywords:

Dermoscopy, lichen planopilaris (LPP), discoid lupus erythematosus (DLE), pseudopelade of brocq (PB)

Abstract

Objective To study the dermoscopic features of  lichen planopilaris (LPP), discoid lupus erythematosus (DLE) and pseudopelade of Brocq (PB) affecting the scalp.

 

Methods Retrospective observational analysis of dermoscopic characteristics of 18 cases with LPP, DLE, PB were studied. Polarized dermatoscope at 10X magnification in polarized mode was used and photographs were captured. The evaluated parameters included perifollicular changes, vascularity, white dots, keratin plugs, number of follicular ostia.

 

Results Perifollicular scales, white dots and blue-grey dots along with accentuation of honey comb pattern were seen in LPP. Keratin plugs, white dots and blue-grey dots along with branching vessels were seen in DLE. In PB lack of follicular ostia were present.

 

Conclusion Dermoscopy thus is helpful in differentiating LPP, DLE and PB and obviating the need of biopsy in all cases.

References

1. Lacarruba F, Dall'Oglio F, Rita Nasca M, Micali G. Videodermatoscopy enhances diagnostic capability in some forms of hair loss. Am J Clin Dermatol. 2004;5:205

2. Ross EK, Vicenzi C, Tosti A. Videodermoscopy in the evaluation of hair and scalp disorders. J Am Acad Dermatol. 2006;55:799-806.

3. Ferreira CMM, Barcaui CB, Piñeiro-Maceira J, eds. Dermatoscopia: aplicação clínica e correlação histopatológica. São Paulo: Atheneu; 2004. P. 31-45.

4. Nikam VV, Mehta HH. A Nonrandomized Study of Trichoscopy Patterns Using Nonpolarized (Contact) and Polarized (Noncontact) Dermatoscopy in Hair and Shaft Disorders. Int J Trichol. 2014;6(2):54-62.

5. Duque-Estrada B, Tamler C, Sodré CT, Barcaui CB, Pereira FB. Dermoscopy pattern of cicatricial alopecias resulting from discoid lupus erythematosus and lichen planopilaris. Ann Bras Dermatol. 2010;85:179-83.

6. Liebman TN, Rabinovitz HS, Dusza SW, Marghoob AA. White shiny structures: Dermoscopic features revealed under polarized light. J Eur Acad Dermatol Venereol. 2012;26:1493-7.

7. Jha AK, Sonthalia S, Sarkar R. Dermoscopy of discoid lupus erythematosus. Indian Dermatol Online J. 2016;7:458.

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Published

17.02.2019

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Section

Original Articles

How to Cite

1.
Dermoscopy in selected disorders of scarring alopecia. J Pak Assoc Dermatol [Internet]. 2019 Feb. 17 [cited 2026 Jul. 22];28(4):449-51. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/1184