Hot Comb Alopecia

LoPresti, Philip A.

doi:10.1001/archderm.1968.01610150020003

Cited by 117 publications

(59 citation statements)

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“…Most of the histologic findings seen in early AK are virtually identical to those found in another form of primary scarring alopecia, namely central centrifugal scarring alopecia (CCSA), also known as the follicular degeneration syndrome, 17,18 hot-comb alopecia, 17,19 and pseudopelade of the vertex/crown. 20,21 This does not imply that AK is the same disease as CCSA since different diseases commonly result in similar histopathologic changes.…”

Section: Commentmentioning

confidence: 72%

Acne Keloidalis Is a Form of Primary Scarring Alopecia

Sperling¹,

Homoky²,

Pratt³

et al. 2000

Arch Dermatol

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Section: Commentmentioning

confidence: 72%

Acne Keloidalis Is a Form of Primary Scarring Alopecia

Sperling¹,

Homoky²,

Pratt³

et al. 2000

Arch Dermatol

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“…While CCCA is a centrifugal expanding alopecia patch [7, 15], FAPD is a diffuse hair loss in a pattern distribution barely forming a real patch with hair diameter diversity as seen in AGA [1, 3, 6]. In FAPD, there is a continuous loss of hair density and hair follicle miniaturization clinically resembling AGA, with a lichenoid infiltrate or true fibrous tracts [1, 6].…”

Section: Discussionmentioning

confidence: 99%

Fibrosing Alopecia in a Pattern Distribution (FAPD) in 16 African-Descent and Hispanic Female Patients: A Challenging Diagnosis

Teixeira

Dias

Trüeb³

et al. 2019

Skin Appendage Disord

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Background: Fibrosing alopecia in a pattern distribution (FAPD) has only been described in Caucasian patients, and it is not clear whether it can develop in dark-skin ethnicities. Materials and Methods: Sixteen Brazilian female patients, 12 of African descent and 4 Hispanic, with progressive scarring alopecia in a pattern distribution were analyzed. Results: Dermatoscopic features showed perifollicular erythema and scaling (14/16), hair fiber diameter diversity (16/16), loss of follicular ostia (16/16), and follicular keratosis (3/16). Late stages showed a honeycomb pigmented network (12/16), a hyperpigmented perifollicular halo (12/16), and small white patches (12/16). Histopathological features showed lichenoid perifollicular infiltrate (14/16), follicular miniaturization (16/16), concentric fibrosis (16/16), perifollicular lymphocytic infiltrate (16/16), and vellus hair involvement (10/16). Premature desquamation of the inner root sheath was found in 11 patients. Conclusions: The concomitant findings of cicatricial pattern hair loss (with or without the recess of the front hair line), hair fiber diversity, perifollicular erythema and scaling, a whitish perifollicular halo, and histological findings of androgenetic alopecia, with vacuolar interface alteration of the upper portion of the follicular epithelium, are the main key features to suggest the diagnosis of FAPD. FAPD is a possible diagnosis in patients of color with cicatricial pattern hair loss. Clinical, dermatoscopic, and histopathological examination allow a proper final differential diagnosis.

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“…LoPresti et al 66 70 This is classified as a lymphocytic primary scarring alopecia that predominantly affects, but is not exclusive to women of African descent. 70 The disease primarily affects the crown and/or vertex scalp regions, sparing the occiput.…”

Section: Central Centrifugal Cicatricial Alopeciamentioning

confidence: 99%