PMC3129120_01
Scarring alopecia over scalp
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F1
On examination, scarring alopecia over the parietal area of the scalp around 8x8 cm, with few residual tufts of normal looking hair present, minimal scaling was noted [Figure 1].
Non-scarring alopecia was present over the pubic region
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F2
Non-scarring alopecia was present over the pubic region and also over the shoulder [Figure 2].
Multiple follicular-oriented papules over the abdomen and trunk
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F3
Multiple follicular-oriented papules over the abdomen, trunk, thighs, and forearm were present [Figure 3].
Dermis replaced by fibrous tissue with intense perifollicular and junctional lichenoid infilterate (H and E, x40)
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F4
A biopsy from the scalp revealed features of scarring alopecia with dermis replaced by fibrous tissue with perifollicular and junctional lichenoid infilterate [Figure 4].