Leonard Sperling, MD
@LenSperling
Dermatopathologist. Professor of Dermatology & Pathology @USUHSPAO. Author: An Atlas of Hair Pathology with Clinical Correlations.
Jerad I love watching your ASDP video interviews and just wanted you to know someone’s watching!
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Pigment incontinence in streamers is surrogate for bulbar inflammation. Common in alopecia areata
Jerad is a rock star!
Thanks all who attended alopecia mini course at #ASDP2017. This paper shows early features of acne keloidalis nuchae ncbi.nlm.nih.gov/m/pubmed/10768…
Typical Image of frontal fibrosing alopecia. A few lonely hairs can be seen near the border of the receding hairline #dermpath #asdp2017
Telogen count based on TERMINAL HAIRS. Need to count at multiple levels. Here 4/21 terminal hairs in telogen,so count is 19%
Follic. decalvans: not specific disease--PATTERN of very inflam cicat alop, usually from CCCA or LPP. Polytrichia (fused infundibula common)
Eccrine duct distention commonly seen in cicatricial alopecia. Not specific, found in CCCA, DLE,LPP
When all the histo findings cannot be explained by one diagnosis, think multifactorial alopecia. Attached: androgenetic AND traction
Counting hairs is way to separate normal from androgenetic from tel effluv from areata. Draw a map! See photo of androg alop
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