Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Common Baldness—an Inflammatory Disease?

…;The results also show that inflammation in MPA [male pattern alopecia] is a relatively consistent finding and that, although often insignificant, this frequently leads to an inflammatory folliculitis, perifollicular fibrosis, and unusually to a dest…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Pseudopelade?

…ie atrophiante, vari?t? pseudopelade [Research about atrophic alopecia, pseudopelade variant]. Ann Dermatol Syphilogr 1905;6:1–32. “The term pseudop?lade of Brocq should be restricted to those patients in whom exhaustive clinical and hit…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Anagen Effluvium?

…used to characterize what is said to be a distinctive type of alopecia. Taken literally, the title signifies excessive loss of hair from follicles that are in the anagen (growing) phase of the cycle of the follicle. Consonant with the definition firs…

Histologic Diagnosis of Inflammatory Skin Diseases

Images

…lb, and each follicle being in the same stage of devolution = Alopecia areata In addition to lymphocytes and melanophages in fibrous tracks, there is a sprinkling of eosinophils, an unusual finding in this condition. 10.3.2A: Peribulbitis +…

Histologic Diagnosis of Inflammatory Skin Diseases

Lichen planus

…ng largely to spare surface epidermis and to end in permanent alopecia; the end-stage of alopecic lesions on the scalp is known as pseudopelade of Brocq, a term generic and not specific for lichen planopilaris. Ungual lichen planus is capable of dest…

Histologic Diagnosis of Inflammatory Skin Diseases

Mycosis fungoides

…matous slack skin” looks like parapsoriasis en plaques. Alopecia mucinosa (mycosis fungoides with epithelial mucinosis) consists of patches and plaques studded with infundibulocentric papules, the lesions having a predilection for the face, nec…

Histologic Diagnosis of Inflammatory Skin Diseases

Telogen effluvium

…ss of hair on the scalp, especially from the parietal region; alopecia sometimes subtle and hardly evident clinically Individual lesions None in skin itself Course Months, with eventual return to normal pelage Differential diagnosis clinical Androg…

Histologic Diagnosis of Inflammatory Skin Diseases

Errors and Reasons

…; urticaria, is wholly artificial and bereft of logic. Error: Alopecia mucinosa manifests itself in two different ways, namely, as an inflammatory process on one hand and as mycosis fungoides on the other, the former sometimes “converting&#8221…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Telogen Effluvium—An Inflammatory Disease?

…oes not result in striking baldness. Only occasionally is the alopecia restricted clinically to a specific area (such as the occiput in newborns) or is distributed diffusely. But Kligman did not make clear whether he considered the process to be phys…