Open AccessTrichoscopy and histopathology of follicular keratotic plugs in scalp discoid lupus erythematosus
Author(s) -
Emma Lanuti,
Mariya Miteva,
Paolo Romanelli,
Antonella Tosti
Publication year - 2012
Publication title -
international journal of trichology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 22
eISSN - 0974-9241
pISSN - 0974-7753
DOI - 10.4103/0974-7753.96087
Subject(s) - discoid lupus erythematosus , scalp , dermatology , hyperkeratosis , medicine , histopathology , keratosis , lupus erythematosus , pathology , scarring alopecia , follicular phase , immunology , antibody
Dermoscopy has become an integral part of diagnosing scalp disorders including discoid lupus erythematosus (DLE). Follicular keratotic plugs are a marker of DLE and correlate with the hyperkeratosis and plugging of the follicular ostia with keratotic material. They may be present in acute or chronic lesions and their presence alone or in conjunction with other described dermoscopic features can lead to timely diagnosis and initiation of treatment. We present three cases of scalp DLE and discuss the clinical, dermoscopic and histopathologic features.