A Case of Lichen Planopilaris.
- Author:
Mi Hae LIM
;
Jong Hyuk PARK
;
Seung Chul LEE
;
Yong Ho WON
;
Inn Ki CHUN
- Publication Type:Case Report
- Keywords:
Lichen planopilaris;
Lichen planus
- MeSH:
Aged;
Fibrin;
Fluorescent Antibody Technique, Direct;
Hair;
Hair Follicle;
Humans;
Lichen Planus;
Lichens*;
Lower Extremity;
Lymphocytes;
Male;
Monocytes;
Peas;
Scalp;
Skin;
Viola
- From:Korean Journal of Dermatology
1997;35(1):139-143
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lichen planopilaris is believed to be a variant of lichen planus which is occasionally accompanied by classical lichen planus. A 68-year old male had asymptomatic skin colored or light violet colored papules and nodules on the occipital area followed by hair loss for 2 months. He had also violaceous pea to bean sized whitish scaly papules on the right lower extremity. Histopathological examination revealed the dilated follicles to be filled with horny material. There were also intense infiltrations of monocytes which were most prominent at the lower pole of the hair follicles on the scalp lesion. There was also hyperkeratosis, focal hypergranulosis and band-like infiltrations of lymphocytes at the dermo-epidermal junction on the lesion of the lower extremity. Direct immunofluorescence examination showed linear deposition of fibrin at the dermo-epidermal junction in the hair follicles. We had an opportunity to observe a man with lichen planopilaris who had loss of scalp hair which was accompanied by classical lichen planus on the lower extremity.
