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Histopathologie der Haut pp 381–403Cite as

Alopezien

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Part of the book series: Springer Reference Medizin ((SRM))

Zusammenfassung

Die Beurteilung von Kopfhautbiopsien mit der Fragestellung Alopezie wird von vielen Befundern als problematisch empfunden. Die Erkrankungen, die zum Haarverlust führen, zeigen oft überlappende Veränderungen; nicht zu vergessen ist die Dynamik des Krankheitsprozesses, die je nach Zeitpunkt zu unterschiedlichen histologischen Bildern führen kann. Sind dann die diagnostischen Hinweise sehr diskret und ist man mit den architektonischen Merkmalen der Haarfollikeln im Horizontalschnitt wenig vertraut, wird es schwierig eine Diagnose zu stellen. Das ist vor allem bei den nicht-vernarbenden Alopezien der Fall. Hier stehen eher quantitative und weniger qualitative Veränderungen im Vordergrund. Wie bei allen entzündlichen Prozessen ist es wichtig, das histologische Bild klinisch zu korrelieren. Eine gute klinisch-pathologische Korrelation erspart ein mühsames Zählen von Anagen- und Telogenfollikeln. Im Idealfall liegen zwei 4 mm Stanzbiopsien vor, die reichlich Subkutis enthalten.

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Author information

Authors and Affiliations

  1. Universitätsklinik für Dermatologie und Venerologie, Medizinische Universität Graz, Auenbruggerplatz 8, 8036, Graz, Österreich

    L. El Shabrawi-Caelen

Authors
  1. L. El Shabrawi-Caelen
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Corresponding author

Correspondence to L. El Shabrawi-Caelen .

Editor information

Editors and Affiliations

  1. Universitätsklinik für Dermatologie, Medizinische Universität Graz, Graz, Austria

    Lorenzo Cerroni

  2. Universitäts-Hautklinik, Eberhard-Karls-Universität, Tübingen, Germany

    Claus Garbe

  3. Universitäts-Hautklinik Münster, Münster, Germany

    Dieter Metze

  4. Dermatopathologie Friedrichshafen, Friedrichshafen, Germany

    Heinz Kutzner

  5. Universitätsklinik für Dermatologie und, Medizinische Universität Graz, Graz, Steiermark, Austria

    Helmut Kerl

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El Shabrawi-Caelen, L. (2016). Alopezien. In: Cerroni, L., Garbe, C., Metze, D., Kutzner, H., Kerl, H. (eds) Histopathologie der Haut. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45133-5_19

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  • DOI: https://doi.org/10.1007/978-3-662-45133-5_19

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45132-8

  • Online ISBN: 978-3-662-45133-5

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