Abstract
Classic lichen planopilaris may be suspected based on trichoscopy only in the active phase of the disease. Characteristic trichoscopic features include perifollicular scaling, with scales entangling hair shafts in a tubular manner up to a few millimeters above the scalp surface. Blood vessels are elongated and commonly arranged concentrically around a hair follicle opening. In long-lasting, inactive lichen planopilaris, trichoscopy shows large irregular white dots, which become confluent and form milky red areas with a characteristic strawberry ice cream color. In Graham Little syndrome, scalp trichoscopic findings do not differ from those of classic lichen planopilaris. Trichoscopy of the axillae and pubic area shows very sparse, thin terminal hairs with no features of fibrosis.
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Olszewska, M., Rakowska, A., Slowinska, M., Rudnicka, L. (2012). Classic Lichen Planopilaris and Graham Little Syndrome. In: Rudnicka, L., Olszewska, M., Rakowska, A. (eds) Atlas of Trichoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-4486-1_21
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DOI: https://doi.org/10.1007/978-1-4471-4486-1_21
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