LETTER TO EDITOR
Year: 2020 • Volume: 3 • Issue: 1 • Page: 14
POHL PINKUS LIKE CONSTRICTIONS IN LICHEN PLANO ILARIS ON DERMOSCOPY
Sandip Agrawal1, Rachita Dhurat1,Ravina Surve1, Sanober Daruwalla1, Aseem Sharma1
1 Dept. of Dermatology, Lokmanya Tilak Medical College and General Hospital
Corresponding Author:
Dr Rachita Dhurat
OPD 16, 2nd floor, New OPD building, Sion Hospital, Mumbai-400022
Email: rachitadhurat@yahoo.co.in
How to cite this article:
Agarwal S, Dhurat R, Surve R, Daruwalla S, Sharma A. Pohl pinkus like constrictions in Lichen Plano Pilaris on dermoscopy. JDA Indian Journal of Clinical Dermatology 2020;3: 14
Sir,
A 32 year old female presented with complete loss of hair over the scalp since 5 years (Figure 1). Treatment taken in the past was not effective and she still complained of new lesions with loss of hair. Skin of the alopecic patch involving almost the entire scalp sparing only the peripheral rim of hair line throughout, appeared shiny and atrophic and hair pull test from the periphery of the alopecic patch was positive.
Figure 1: Loss of hair involving 85% scalp area
Dermoscopic examination (Heine dermatoscope) revealed diminished follicular ostia, tubular perifollicular scaling and peripilar casts. Perifollicular blue-grey dots- target sign, suggestive of melanin incontinence were present1. White areas indicating fibrosis in the interfollicular area were seen. Interestingly, all hair in the affected area demonstrated varying thickness throughout the length of the hair shaft (Figure 2).
Figure 2: Dermoscopic picture-(Heine dermatoscope under 50x magnification polarized mode) Yellow arrow-peripilar cast, Red arrow- blue gray dots, Green arrow-white areas, Blue arrow- Pohl Pinkus like constrictions
Multiple pohlpinkus like constrictions were seen throughout the hair shaft probably suggestive of the multiple episodes of trauma that the hair experienced each time there was a flare of the disease. Integrin expression has a role in cell cell adhesion , epidermal differentiation and migration , its altered expression is seen in active lesions of lichen planus pilaris and probably the reason for pohlpinkus like constrictions here. Trichogram revelaed floppy sock appearance due to roughened cuticle. To conclude, lichen planopilaris is the most common cause of
cicatricial alopecia. It frequently affects middle-aged females with irregular areas of atrophic alopecia on the scalp. Dermoscopy can act as a useful non-invasive aid in diagnosing lichen planopilaris .
References
1. Ankad B., Beergouder, S., &Moodalgiri, V. (2013). Lichen planopilaris versus discoid lupus erythematosus: A trichoscopic perspective.
International Journal of Trichology, 2013,5(4), 204-207. doi:10.4103/0974-7753.130409
order sumatriptan 25mg pills – imitrex order online buy imitrex 25mg
free datinsites chat chatting sites free online dating interracial dating
central connect singles
professional paper writer buy a literature review paper
ghost writer for college papers how to write my paper
help with college paper writing write my paper for me fast thesis papers for sale pay people to write papers
college paper writing services find someone to write my paper need help with paper write my economics paper
write my english paper can you write my paper for me some to write my paper pay for someone to write your paper
who can write my paper for me where can i find someone to write my paper psychology paper writing
service professional paper writers
best paper writing service reviews where can i find someone to write my paper write my sociology paper buy academic papers
buy papers online for college paper writer online paper writing
help online paper writing services
write my paper one day paper writing services reviews write my psychology paper apa papers for sale
buy writing paper pay someone to write a paper for me buy papers for college online custom written papers
help writing a paper for college websites that write
papers for you cheap paper writing service best paper writers
write my paper apa format write my college paper need help write my paper scientific paper writing services
write my paper reviews college papers for sale college paper writers paper writers college
help with your paper someone to write my paper for
me paper writing services for college students buy papers online for college
write my business paper best online paper writers pay someone to write a paper someone to write my paper for me
pay for someone to write your paper college papers writing service pay for a paper write my paper for me fast
buy a paper online need someone write my paper
college papers help write my paper one day
paper writers for college where can you buy resume
paper write my paper apa format help writing papers
coursework phd coursework history a level coursework phd coursework synonym
custom coursework writing service coursework plan example coursework gcse coursework help uk
coursework advantages and disadvantages coursework master coursework handbook coursework buy uk
coursework synonym coursework download free coursework
history coursework at university
nursing coursework coursework examination coursework in marketing coursework references
coursework average calculator design technology coursework coursework planning narrative coursework examples
coursework title page coursework definition coursework noun coursework download
coursework psychology coursework samples qasp coursework coursework grade boundaries
coursework mark coursework or research coursework student coursework geeks
coursework ka hindi coursework handbook coursework login courseworkninja.com
bruh ringtone https://ringtonessphone.com/bruh-ringtone.html
hey listen i love you ringtone download https://ringtonessphone.com/hey-listen-ringtone.html
the dinosaur game on google https://chromedinos.com
dinisor game https://chromedinos.com
best ringtones https://ringtonessbase.com
best ringtones https://ringtonessbase.com
animal ringtones https://downloadfreeringtoness.com/animal-ringtones
marimba remix ringtones https://downloadfreeringtoness.com/marimba-remix-ringtones
human sounds https://sounddeffects.com/human-sounds
cartoon and funny sounds https://sounddeffects.com/cartoon-and-funny-sounds
https://drugsoverthecounter.shop/# over the counter anti inflammatories
buy clomid In addition to the normal complications of cysts, the presence of cysts in pregnancy may cause obstructed labor
But several other causes of dry mouth in pets aren t quite as straightforward to treat lasix pill picture
buy generic arimidex anastrozole drug order arimidex without prescription
best online dating sites dating online dating free chat and
dating online free chat cam mature mistresses
Myocardial mechanics in noncontiguous HCM, Anushree Agarwal M what is lasix used for in dogs In some cases, patients may be looking for an alternative treatment to Dexilant
free dating websites singles free dating sites in iran single senior dating site
online single women online
completely free local dating sites dating finder share dating dating sites for free
100% free dating sites no fees free single dating sites dating for free free local dating
singles near me free adult chat dating site meet me now dating
site absolutely free dating sites no fees ever
single woman dating for free online dating sites for free meet me dating site free free single dating service
best dating sites free adult chat rooms dating website free free online site
dating sites into trampling free dating near you new singles online 100% absolutely free people search
artist-bio.ru
фильмы марвел в 2023 какие выйдут
чебурашка фильм 2023 в кино когда выйдет
I read your article carefully, it helped me a lot, I hope to see more related articles in the future. thanks for sharing.
Its not my first time to go to see this site, i am visiting this website dailly and
take good facts from here daily.
I agree with your point of view, your article has given me a lot of help and benefited me a lot. Thanks. Hope you continue to write such excellent articles.
Внушаемость
writing custom essays cheap essays the help essay prompts buy essay online safe
where can i buy essays online best essay website where can i buy an essay essay paper writing service
professional essay writing service who can write my essay
for me college essay services help writing essays for college
best essay writers help writing a comparison and contrast
essay best medical school essay editing service cheap custom essay writing service
admission essay editing service custom essays cheap custom my essay help writing college essay
service to others essay best college application essay service essay
on service to humanity essay editing services
i need help to write an essay personal essay
help pay for someone to write my essay cheap essay services
custom writing essays discount essay writing service the best essay writers custom essays writing service
essay help sites need help writing essay legitimate essay writing service help write essay online
Hello, after reading this awesome piece of writing i am as well happy to share my knowledge
here with colleagues.
новинки кино 2018 2019 смотреть онлайн
can i get someone to write my essay write my social work
essay essay service cheap custom essay writing toronto
Пацаны 4 смотреть
write my essay for money i need help with my college
essay buying essays online online essay editing services
cheap custom essay writing service best essay writing website help writing an argumentative essay essay writing helper
buy essay online cheap cheap custom essay papers college essay
community service essay writers net
need help writing essay help with an essay help write an essay online good essay writing website
essay editing service reviews custom written essay best college essay writing services essay writers cheap
1189
Комедия
I have read your article carefully and I agree with you very much. This has provided a great help for my thesis writing, and I will seriously improve it. However, I don’t know much about a certain place. Can you help me?
Психолог онлайн
sildenafil 20 mg prices itsoktocry viagra generic viagra online
viagra boys 200 milligram viagra canadian pharmacy viagra
Good ranking of Casino Affiliate Programs Review casino and sports betting affiliate programs, Super affiliate programs only with us, review, rating
The point of view of your article has taught me a lot, and I already know how to improve the paper on gate.oi, thank you.
how long for cialis to peak tadalafil peptide cialis side effect
the help essay questions essay revision help online i need help with my
essay help writing a comparison and contrast essay
buy cheap essays online essay writing help cheap law essay writing service can t write my essay
english essay helper analysis essay help write my essay
affordable cheap essay service
academic custom essays essay writing service usa cheap essay service custom essay toronto