Dermoscopic findings in cicatricial alopecia

Background: Dermoscopy is an important tool for the diagnosis of pigmented skin lesions. Newly, this method has also been used in the diagnosis and follow-up hair and scalp disorders.
Objective: The objective of this study was to investigate dermoscopic findings in a sample of patients with clinical and histopathological compatible with cicatricial alopecia.
Methods: Twenty nine patients with cicatricial alopecia diagnosed by clinical and histological findings were examined by dermoscopy..
Results: Dermoscopic features evaluated included folliculitis decalvans (n=8), pseudopelade of Brocq (n=7), lichen planopilaris (n=6), discoid lupus erythematosus (n=2), dissecting cellulitis (n=1), and secondary cicatricial alopecia (n=5). Visualization of structures previously examined with naked eye were seen in great detail with dermoscopy. The loss of follicular orifices was seen in all patients with cicatricial alopecia. Perifollicular scaling, arborizing red lines, honeycomb pigment pattern, white dots and tufted hairs were the other most obvious findings.
Conclusion: Use of dermoscopy in the clinical evaluation of cicatrical alopecia improves diagnostic capability beyond simple clinic inspection, but larger studies correlating dermoscopic findings with histopathology exams are needed to improve understanding of this method.

Sikatrisyel alopeside dermoskopik bulgular

Giriþ: Dermoskopi pigmente deri lezyonlarýnýn tanýsýnda önemli bir araçtýr. Son yýllarda bu yöntem saç ve saçlý deri hastalýklarýnýn taný ve takibinde de kullanýlmaktadýr.
Amaç: Çalýþmanýn amacý klinik ve histopatolojik olarak skatrisyel alopesisi olan bir grup hastada dermoskopik bulgularý deðerlendirmekti.
Gereç ve Yöntem: Klinik ve histolojik bulgulara dayanarak skatrisyel alopesi tanýsý konulan 29 hasta dermoskopik özellikler açýsýndan deðerlendirildi.
Bulgular: Çalýþmaya katýlan folikülitis dekalvanslý 8, Brocq’un psödopeladý olan 7, liken planopilarisli 6, diskoid lupus eritematozuslu 2, dissekan selüliti olan 1 ve sekonder skatrisyel alopesili 5 hastada dermoskopik özellikler incelendi. Çýplak gözle muayenede görülen özellikler dermoskopi ile daha detaylý deðerlendirildi. Skatrisyel alopesili hastalarýn hepsinde foliküler açýklýk kaybý vardý. Perifoliküler skuam, dallanan kýrmýzý çizgiler, bal peteði pigment paterni, beyaz benekler ve tufted folikülit diðer sýk görülen bulgulardý.
Sonuç: Skatrisyel alopesinin klinik deðerlendirilmesinde dermoskopinin kullanýmý, basit klinik inspeksiyonun ötesinde tanýsal yararlýlýk saðlar, fakat bu yöntemin daha iyi anlaþýlmasý için histopatolojik korelasyonun da yapýldýðý geniþ serili çalýþmalara ihtiyaç vardýr.