PMC3358938_01
Case 1 - Scarring alopecia of the scalp associated with diffuse hypopigmentation, sparse follicular plugs, and diffuse scaling at the borders of the alopecic areas
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F1
A 40-year-old African American female with long-standing scarring alopecia presented to our clinic [Figure 1].
Case 1 - Dermoscopy guided biopsy, the area shows numerous yellow keratotic plugs
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F2
Dermoscopy showed reduced follicular density and numerous yellow keratotic follicular plugs [Figure 2].
Case 1 - Horizontal section at the level of the infundibulum demonstrates infundibular ostia filled with keratotic material (follicular plugs) (H and E, x4)
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F3
At the level of the infundibulum, many infundibular ostia were filled with keratotic material (follicular plugs) [Figure 3].
PMC3358938_02
PMC3358938_03
Case 3 - Alopecic patch showing erythema and pigmentation
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F4
A 39-year-old female presented with rapidly progressing alopecic patch of the scalp for the past four months [Figure 4].
Case 3 - Dermoscopic images showing follicular keratin plugs
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F5
Dermoscopic examination of her scalp showed polymorphous vasculature, white patches, follicular keratotic plugs, and follicular hyperkeratosis [Figure 5].