LenSperling's profile picture. Dermatopathologist. Professor of Dermatology & Pathology @USUHSPAO. Author: An Atlas of Hair Pathology with Clinical Correlations.

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

LenSperling's tweet image. Pigment incontinence in streamers is surrogate for bulbar inflammation. Common in alopecia areata

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

LenSperling's tweet image. Typical Image of frontal fibrosing alopecia. A few lonely hairs can be seen near the border of the receding hairline #dermpath #asdp2017
LenSperling's tweet image. Typical Image of frontal fibrosing alopecia. A few lonely hairs can be seen near the border of the receding hairline #dermpath #asdp2017

Total absence of adnexal structures is clue to radiation induced alopecia #Dermpath #asdp2017

Pop quiz: Alopecia bx. R/O metastatic breast ca. What's going on here, @LenSperling ?

ginajohnsonmd's tweet image. Pop quiz: Alopecia bx. R/O metastatic breast ca. What's going on here, @LenSperling ?


Telogen count based on TERMINAL HAIRS. Need to count at multiple levels. Here 4/21 terminal hairs in telogen,so count is 19%

LenSperling's tweet image. 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)

LenSperling's tweet image. Follic. decalvans: not specific disease--PATTERN of very inflam cicat alop, usually from CCCA or LPP. Polytrichia (fused infundibula common)
LenSperling's tweet image. 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

LenSperling's tweet image. 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

LenSperling's tweet image. 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

LenSperling's tweet image. 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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