case_images: PMC10963056_01
case_images: a Hair thinning and loss affecting the vertex (androgen-dependent area). b Hair thinning and loss affecting the occipital scalp (androgen-independent area). c Trichosopy of an androgen-dependent site: loss of follicular ostia, white dots, miniaturised hair. d Trichoscopy of androgen-independent site: one peripilar scale.
case_images: cde-2024-0016-0001-538064_F01.jpg
case_images: PMC10963056_01_cde-2024-0016-0001-538064_F01.jpg
case_images: F1
case_images: She reported a 10-year history of gradual hair thinning with a 3-year history of worsening diffuse scalp hair loss (shown in Fig. 1a, b) associated with complete madarosis and thinning of axillary and pubic hair. Trichoscopy confirmed sporadic white dots, loss of follicular ostia, hair miniaturisation, and minimal perifollicular hyperkeratosis (shown in Fig. 1c, d).
case_images: Mid-power view (x10) of a punch biopsy (vertical section) showing a dense lichenoid lymphocytic infiltrate of the follicular epithelium.
case_images: cde-2024-0016-0001-538064_F02.jpg
case_images: PMC10963056_01_cde-2024-0016-0001-538064_F02.jpg
case_images: F2
case_images: These showed fibrous tracts and perifollicular lichenoid lymphocytic infiltrate, suggestive of LPP (shown in Fig. 2).