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Abstract

This chapter addresses clinical and dermoscopic features according to the phototype (fair vs dark skin) of the following scarring alopecias: discoid lupus erythematosus, lichen planopilaris, frontal fibrosing alopecia, folliculitis decalvans, acne keloidalis nuchae, central centrifugal cicatricial alopecia, and dissecting cellulitis of the scalp.

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References

  1. Elman SA, Joyce C, Nyberg F, et al. Development of classification criteria for discoid lupus erythematosus: results of a Delphi exercise. J Am Acad Dermatol. 2017;77:261–7.

    PubMed  Google Scholar 

  2. Joseph AK, Windsor B, Hynan LS, Chong BF. Discoid lupus erythematosus skin lesion distribution and characteristics in black patients: a retrospective cohort study. Lupus Sci Med. 2021;8:e000514.

    PubMed  PubMed Central  Google Scholar 

  3. Concha JSS, Werth VP. Alopecias in lupus erythematosus. Lupus Sci Med. 2018;5:e000291.

    PubMed  PubMed Central  Google Scholar 

  4. Bolduc C, Sperling LC, Shapiro J. Primary cicatricial alopecia: lymphocytic primary cicatricial alopecias, including chronic cutaneous lupus erythematosus, lichen planopilaris, frontal fibrosing alopecia, and Graham-little syndrome. J Am Acad Dermatol. 2016;75:1081–99.

    PubMed  Google Scholar 

  5. Inamadar AC. Perforation of paper with pen: simple technique to explain the carpet tack sign in discoid lupus erythematosus. J Am Acad Dermatol. 2019;81:e159–60.

    PubMed  Google Scholar 

  6. Ocampo-Garza J, Tosti A. Trichoscopy of dark scalp. Skin Appendage Disord. 2018;5:1–8.

    PubMed  PubMed Central  Google Scholar 

  7. Enechukwu N, Ogunbiyi A. Hair disorders (Trichoscopy). In: Errichetti E, Lallas A, editors. Dermoscopy in general dermatology for skin of color. 1st ed. Boca Raton, FL: CRC; 2021. p. 145–71.

    Google Scholar 

  8. Yin NC, Tosti A. A systematic approach to afro-textured hair disorders: dermatoscopy and when to biopsy. Dermatol Clin. 2014;32:145–51.

    CAS  PubMed  Google Scholar 

  9. Lanuti E, Miteva M, Romanelli P, Tosti A. Trichoscopy and histopathology of follicular keratotic plugs in scalp discoid lupus erythematosus. Int J Trichology. 2012;4:36–8.

    PubMed  PubMed Central  Google Scholar 

  10. Rakowska A, Rudnicka L. Hair disorders (Trichoscopy). In: Lallas A, Errichetti E, Ioannides D, editors. Dermoscopy in general dermatology. 1st ed. Boca Raton, FL: CRC; 2018. p. 229–40.

    Google Scholar 

  11. Rakowska A, Slowinska M, Kowalska-Oledzka E, et al. Trichoscopy of cicatricial alopecia. J Drugs Dermatol. 2012;11:753–8.

    PubMed  Google Scholar 

  12. Tosti A, Torres F, Misciali C, et al. Follicular red dots: a novel dermoscopic pattern observed in scalp discoid lupus erythematosus. Arch Dermatol. 2009;145:1406–9.

    PubMed  Google Scholar 

  13. Fertig RM, Hu S, Maddy AJ, et al. Medical comorbidities in patients with lichen planopilaris, a retrospective case-control study. Int J Dermatol. 2018;57:804–9.

    PubMed  Google Scholar 

  14. Suchonwanit P, Pakornphadungsit K, Leerunyakul K, Khunkhet S, Sriphojanart T, Rojhirunsakool S. Frontal fibrosing alopecia in Asians: a retrospective clinical study. Int J Dermatol. 2020;59:184–90.

    PubMed  Google Scholar 

  15. Kossard S. Postmenopausal frontal fibrosing alopecia. Scarring alopecia in a pattern distribution. Arch Dermatol. 1994;130:770–4.

    CAS  PubMed  Google Scholar 

  16. Duque-Estrada B, Tamler C, Sodre CT, Barcaui CB, Pereira FB. Dermoscopy patterns of cicatricial alopecia resulting from discoid lupus erythematosus and lichen planopilaris. An Bras Dermatol. 2010;85:179–83.

    PubMed  Google Scholar 

  17. Tosti A, Miteva M, Torres F. Lonely hair: a clue to the diagnosis of frontal fibrosing alopecia. Arch Dermatol. 2011;147:1240.

    PubMed  Google Scholar 

  18. Otberg N, Kang H, Alzolibani AA, Shapiro J. Folliculitis decalvans. Dermatol Ther. 2008;21:238–44.

    PubMed  Google Scholar 

  19. Harries MJ, Sinclair RD, Macdonald-Hull S, Whiting DA, Griffiths CE, Paus R. Management of primary cicatricial alopecias: options for treatment. Br J Dermatol. 2008;159:1–22.

    CAS  PubMed  Google Scholar 

  20. Vano-Galvan S, Molina-Ruiz AM, Fernandez-Crehuet P, et al. Folliculitis decalvans: a multicentre review of 82 patients. J Eur Acad Dermatol Venereol. 2015;29:1750–7.

    CAS  PubMed  Google Scholar 

  21. Egger A, Stojadinovic O, Miteva M. Folliculitis Decalvans and lichen Planopilaris phenotypic Spectrum-a series of 7 new cases with focus on histopathology. Am J Dermatopathol. 2020;42:173–7.

    PubMed  Google Scholar 

  22. Yip L, Barrett TH, Harries MJ. Folliculitis decalvans and lichen planopilaris phenotypic spectrum: a case series of biphasic clinical presentation and theories on pathogenesis. Clin Exp Dermatol. 2020;45:63–72.

    CAS  PubMed  Google Scholar 

  23. Saceda-Corralo D, Moreno-Arrones OM, Rodrigues-Barata R, et al. Trichoscopy activity scale for folliculitis decalvans. J Eur Acad Dermatol Venereol. 2020;34:e55–7.

    CAS  PubMed  Google Scholar 

  24. Ogunbiyi A. Acne keloidalis nuchae: prevalence, impact, and management challenges. Clin Cosmet Investig Dermatol. 2016;9:483–9.

    PubMed  PubMed Central  Google Scholar 

  25. Salami T, Omeife H, Samuel S. Prevalence of acne keloidalis nuchae in Nigerians. Int J Dermatol. 2007;46:482–4.

    PubMed  Google Scholar 

  26. Kridin K, Solomon A, Tzur-Bitan D, Damiani G, Comaneshter D, Cohen AD. Acne Keloidalis Nuchae and the metabolic syndrome: a population-based study. Am J Clin Dermatol. 2020;21:733–9.

    PubMed  Google Scholar 

  27. Maranda EL, Simmons BJ, Nguyen AH, Lim VM, Keri JE. Treatment of acne Keloidalis Nuchae: a systematic review of the literature. Dermatol Ther (Heidelb). 2016;6:363–78.

    PubMed  Google Scholar 

  28. Labib A, Salfity L, Powell B. Acne Keloidalis Nuchae: a staged reconstruction. Cureus. 2021;13:e18173.

    PubMed  PubMed Central  Google Scholar 

  29. Dlova NC, Salkey KS, Callender VD, McMichael AJ. Central centrifugal Cicatricial alopecia: new insights and a call for action. J Investig Dermatol Symp Proc. 2017;18:S54–6.

    PubMed  Google Scholar 

  30. Malki L, Sarig O, Romano MT, et al. Variant PADI3 in central centrifugal Cicatricial alopecia. N Engl J Med. 2019;380:833–41.

    CAS  PubMed  Google Scholar 

  31. Gathers RC, Lim HW. Central centrifugal cicatricial alopecia: past, present, and future. J Am Acad Dermatol. 2009;60:660–8.

    PubMed  Google Scholar 

  32. Gomez-Zubiaur A, Saceda-Corralo D, Velez-Velazquez MD, Lario AR, Trasobares-Marugan L. Central centrifugal Cicatricial alopecia following a patchy pattern: a new form of clinical presentation and a challenging diagnosis for the dermatologist. Int J Trichology. 2019;11:216–8.

    PubMed  PubMed Central  Google Scholar 

  33. Miteva M, Tosti A. Dermatoscopic features of central centrifugal cicatricial alopecia. J Am Acad Dermatol. 2014;71:443–9.

    PubMed  Google Scholar 

  34. Jerome MA, Laub DR. Dissecting cellulitis of the scalp: case discussion, unique considerations, and treatment options. Eplasty. 2014;14:ic17.

    PubMed  PubMed Central  Google Scholar 

  35. Segurado-Miravalles G, Camacho-Martinez FM, Arias-Santiago S, et al. Epidemiology, clinical presentation and therapeutic approach in a multicentre series of dissecting cellulitis of the scalp. J Eur Acad Dermatol Venereol. 2017;31:e199–200.

    CAS  PubMed  Google Scholar 

  36. Vasanth V, Chandrashekar BS. Follicular occlusion tetrad. Indian Dermatol Online J. 2014;5:491–3.

    PubMed  PubMed Central  Google Scholar 

  37. Scott DA. Disorders of the hair and scalp in blacks. Dermatol Clin. 1988;6:387–95.

    CAS  PubMed  Google Scholar 

  38. Melo DF, Trueb RM, Dutra H, Lima M, Machado CJ, Dias M. Low-dose isotretinoin as a therapeutic option for dissecting cellulitis. Dermatol Ther. 2020;33:e14273.

    CAS  PubMed  Google Scholar 

  39. Melo DF, Lemes LR, Pirmez R, Duque-Estrada B. Trichoscopic stages of dissecting cellulitis: a potential complementary tool to clinical assessment. An Bras Dermatol. 2020;95:514–7.

    PubMed  PubMed Central  Google Scholar 

  40. Segurado-Miravalles G, Camacho-Martinez F, Arias-Santiago S, et al. Reply to: “regarding trichoscopy of dissecting cellulitis of the scalp”. J Am Acad Dermatol. 2017;76:e215–6.

    PubMed  Google Scholar 

  41. Segurado-Miravalles G, Camacho-Martinez F, Arias-Santiago S, et al. Trichoscopy of dissecting cellulitis of the scalp: exclamation mark hairs and white dots as markers of disease chronicity. J Am Acad Dermatol. 2016;75:1267–8.

    PubMed  Google Scholar 

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Correspondence to Richard P. Usatine .

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Rakowska, A. et al. (2023). Scarring Alopecias. In: Errichetti, E., Usatine, R.P., Ankad, B.S., Lallas, A. (eds) Clinical and Dermoscopic Atlas of Non-Neoplastic Dermatoses. Springer, Cham. https://doi.org/10.1007/978-3-031-19688-1_19

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  • DOI: https://doi.org/10.1007/978-3-031-19688-1_19

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