Differential Diagnosis in Dermatopathology

Alopecia of discoid lupus erythematosus vs. Alopecia of lichen planus

…cells on follicles or to physiological or mechanical factors in which inflammatory cells play no role. Although the scalp is the site most often affected, any region of the skin that bears hair follicles may be involved by certain types of alopecia….

Therapeutic Strategies in Dermatology

Lichen Planus: Clinical Cases

Clinical Cases Case 1 Generalized cutaneous and mucosal lichen planus 53-year-old man with hepatitis C viral infection Acute onset of intensely pruritic, purpuric, papular eruption No constitutional symptoms Initial evaluation Bilateral…

Therapeutic Strategies in Dermatology

Viral Exanthems: Initial Evaluation

…nal signs, such as mucous patches, condyloma lata, and patchy alopecia accompany the cutaneous eruption in the second phase of syphilis. Other bacterial infections, in rare cases, may also cause a morbilliform eruption mimicking vir…

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

…therapy; in rare severe cases, or in cases where scarring or alopecia can result, systemic immunosuppression should be considered. Generalized forms often require systemic treatment, such as immunosuppression or phototherapy. Specific variants, such…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…on Evaluation reveals persistent erythema, subtle scale, and alopecia KOH examination reveals persistent branching hyphae The fungal culture data is reviewed. The infection is susceptible to griseofulvin. Griseofulvin is continued another 4 weeks. A…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

…revifem, Tri-Sprintec, or TriNessa). Amenorrhea, androgenetic alopecia, and/or hirsutism, are signs of a hyperandrogenic state, and endocrine evaluation and correction or suppression of the condition may lead to improvement of the acne when other app…

Therapeutic Strategies in Dermatology

Acne Keloidalis Nuchae: Clinical Case

…ies a history of prior keloidal scarring, skin infections, or alopecia Presents for management of pustules and scarring on the nape present for several years, now associated with hair loss Initial evaluation Healthy appearing male Firm keloidal pla…

Therapeutic Strategies in Dermatology

Syphilis (Lues): Key Points

…ding palms/ soles, condyloma lata, mucous patches, moth-eaten alopecia Arthralgias, myalgia, pharyngitis, ocular involvement Tetriary Erythematous to red-brown nodules, plaques Cardiac and CNS involvement Neurosyphilis Cranial nerve dysfunction,…

Therapeutic Strategies in Dermatology

Lupus: Key Points

…bowl of ear, neck Heal with pigmentary changes, scarring and alopecia (if scalp involvement is present) Rare cases progress to systemic lupus erythematosus Patients with systemic lupus erythematosus may have discoid lesions Subacute cutaneous lupu…

Histologic Diagnosis of Inflammatory Skin Diseases

Traction alopecia

Traction alopecia Synonyms Hot comb alopecia Follicular degeneration syndrome Presentation stereotypical Age and sex Young women, especially African-Americans Distribution of lesions Scalp, in symmetrical fashion, particularly along the frontal ha…