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Cicatricial alopecia - a case report with a review of literature

Valentina Broshtilova, Dimiter Nikolov, Filka Georgieva, Jeny Dimitrova, Sonya Marina

Abstract

Cicatricial alopecia encompasses a group of clinical entities that affect the hair unit leaving permanent destruction of the follicular ostia, skin atrophy and irreversible loss of hair follicles. Herein, a 43-year-old lady with erythematous follicular papules, resulting into atrophic scars with permanent loss of hairs, slowly progressing for more than 22 years, is presented. The patient has been consulted by numerous dermatologists and no exact histological diagnosis was verified. Upon proper clinico-pathological work-up, a diagnosis of lichen planopilaris was concluded and treatment with intralesionaly corticosteroids and oral hydroxychloroquine was introduced. The patient improved significantly during the 3-month follow-up. Scarring alopecia should always be evaluated clinically and by scalp biopsy to accurately analyze the change in the follicular architecture and type, distribution and extent of the inflammatory infiltrate. This complex diagnostic approach is crucial for the diagnosis and management of all cases of cicatricial alopecias.


Keywords

cicatricial alopecia, histopathological findings, differential diagnosis

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References

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DOI: http://dx.doi.org/10.14748/ssm.v50i1.4172

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About The Authors

Valentina Broshtilova
Department of Dermatology and Venereology, Faculty of Medicine, Medical University - Sofia, Bulgaria
Bulgaria

Dimiter Nikolov
Department of Vascular Surgery, Tokuda Hospital, Sofia - Bulgaria
Bulgaria

Filka Georgieva
Medical University of Varna, Bulgaria
Bulgaria

Department of Infectious Diseases, Parasitology and Dermatovenereology, Faculty of Medicine

Jeny Dimitrova
Medical University of Varna, Bulgaria
Bulgaria

Department of Infectious Diseases, Parasitology and Dermatovenereology, Faculty of Medicine

Sonya Marina
Medical University of Varna, Bulgaria
Bulgaria

Department of Infectious Diseases, Parasitology and Dermatovenereology, Faculty of Medicine

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