Frontal fibrosing alopecia and lichen planus pigmentosus

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Presentation transcript:

Frontal fibrosing alopecia and lichen planus pigmentosus Jacqueline Goulart Berliner, MD, Timothy H. McCalmont, MD, Vera H. Price, MD, Timothy G. Berger, MD Journal of the American Academy of Dermatology Volume 71, Issue 1, Pages e26-e27 (July 2014) DOI: 10.1016/j.jaad.2013.12.031 Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Lichen planus pigmentosus and frontal fibrosing alopecia. Diffuse hyperpigmentation of upper chest, neck, and cheeks with loss of eyebrow hair and recession of frontal hairline. B, A punch biopsy demonstrates an atrophic lichenoid dermatitis with many perijunctional necrotic keratinocytes and melanophages, as is typical of lichen planus pigmentosus. C, Transverse sectioning of a punch biopsy of the scalp demonstrates concentric perifollicular fibrosis, limited compound follicle formation, and a modest lymphocytic infiltrate. This combination is diagnostic of a lymphocyte-mediated primary cicatricial alopecia, and clinicopathologic correlation favored a diagnosis of frontal fibrosing alopecia. Journal of the American Academy of Dermatology 2014 71, e26-e27DOI: (10.1016/j.jaad.2013.12.031) Copyright © 2014 American Academy of Dermatology, Inc. Terms and Conditions