Clinical features of primary cicatricial alopecia in Chinese patients

Abstract

Dermatoscopy provides a rapid, practical and useful aid for the diagnosis of PCA and also to assess disease activity. Patulous follicular openings are a specific dermoscopic sign of alopecia mucinosa. Lichen planopilaris is less common in China than in the West.

<p>Asian Hair: A Review of Structures, Properties, and Distinctive Disorders</p>

“…Neutrophilic PSA also occurs more in men, but mostly in their middle age. 65 Altogether, we observed a trend of lymphocytic PSA in older females, and neutrophilic PSA in young males. Unlike Asians, Caucasians are dominated with lymphocytic PSA, eg, lichen planopilaris and chronic cutaneous lupus erythematosus.…”

Dermoscopy in General Dermatology: A Practical Overview

“…10d) [132, 133, 136–141, 149, 150]; other possible dermoscopic findings of active lesions include violaceous or violet-brown inter- or perifollicular violaceous areas (Fig. 10d), perifollicular inflammation, elongated linear blood vessels in concentric arrangement and target “blue-grey dots” [132, 133, 136–141, 149, 150]. Inactive/late lesions may show characteristic (but not pathognomonic) irregular, large white dots (fibrotic white dots) (Fig.…”

“…Inactive/late lesions may show characteristic (but not pathognomonic) irregular, large white dots (fibrotic white dots) (Fig. 10d) as well as less specific findings such as acquired pili torti, loss of follicular openings, white areas, honeycomb/scattered hyperpigmentation, milky red areas (strawberry ice cream colour) and small hair tufts of 5–9 hairs [132, 133, 136–141, 149, 150]. …”

“…10f), which are often surrounded by a band of yellowish scales (yellowish tubular scaling) and by perifollicular epidermal hyperplasia (which may be arranged in a starburst pattern) at their base [132, 133, 137, 145–148]; other peculiar findings in active folliculitis decalvans include follicular pustules and yellow discharge and crusts (Fig. 10f) [132, 133, 137, 145–149]. A perifollicular concentration of blood vessels (elongated loops/coiled vessels) and a perifollicular erythema arranged in a starburst pattern may also be visible [132, 133, 137, 145–147, 149].…”

“…10f) [132, 133, 137, 145–149]. A perifollicular concentration of blood vessels (elongated loops/coiled vessels) and a perifollicular erythema arranged in a starburst pattern may also be visible [132, 133, 137, 145–147, 149]. In long-lasting lesions, ivory-white and milky-red areas without follicular orifices predominate [145].…”