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eMediNexus 23 December 2022
All types of lupus erythematosus (LE) may induce hair loss. Nonscarring alopecia correlates with systemic LE based on its high specificity. Discoid LE may also emerge as nonscarring patches in the early stages. Patchy alopecia LE-specific may mimic alopecia areata (AA) – which can co-exist with LE. A mindful distinction is fundamental to early diagnosis and effective treatment. The present study analyzed clinical, epidemiological, trichoscopic and histopathological features of patients with patchy LE-specific alopecia, nonscarring type, mimicking AA. It reviewed patients′ medical records with a confirmed diagnosis of LE mimicking AA.
The study observed:
This study describes trichoscopy as an essential first step for diagnosing patchy alopecia, enabling the differentiation of LE from AA. A trichoscopy increases diagnostic accuracy with better outcomes for patients by raising suspicion that leads to a biopsy.
Source: Melo DF, Müller Ramos P, Iorizzo M, et al. Epidemiological, clinical, trichoscopic, and histopathological features of lupus erythematous mimicking alopecia areata: a multicenter retrospective study. Skin Appendage Disord. 2022;8(3):236-40.
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