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Classic Lichen Planopilaris and Graham Little Syndrome

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Atlas of Trichoscopy

Abstract

Classic lichen planopilaris may be suspected based on trichoscopy only in the active phase of the disease. Characteristic trichoscopic features include perifollicular scaling, with scales entangling hair shafts in a tubular manner up to a few millimeters above the scalp surface. Blood vessels are elongated and commonly arranged concentrically around a hair follicle opening. In long-lasting, inactive lichen planopilaris, trichoscopy shows large irregular white dots, which become confluent and form milky red areas with a characteristic strawberry ice cream color. In Graham Little syndrome, scalp trichoscopic findings do not differ from those of classic lichen planopilaris. Trichoscopy of the axillae and pubic area shows very sparse, thin terminal hairs with no features of fibrosis.

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Author information

Authors and Affiliations

  1. Department of Dermatology, Medical University of Warsaw, Koszykowa 82A, Warsaw, 02-008, Poland

    Malgorzata Olszewska

  2. Department of Dermatology, CSK MSW, Woloska 137, Warsaw, 02-507, Poland

    Adriana Rakowska & Monika Slowinska

  3. Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland

    Lidia Rudnicka

  4. Department of Dermatology, CSK MSW, Woloska 137, Warsaw, 02-502, Poland

    Lidia Rudnicka

Authors
  1. Malgorzata Olszewska
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  2. Adriana Rakowska
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  3. Monika Slowinska
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  4. Lidia Rudnicka
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Corresponding author

Correspondence to Lidia Rudnicka .

Editor information

Editors and Affiliations

  1. Warsaw Medical University, Erazma Ciolka 27, Warsaw, 01-445, Poland

    Lidia Rudnicka

  2. Nowy Swiat 72, Warsaw, 00-330, Poland

    Malgorzata Olszewska

  3. CSK MSWiA, Woloska 107, Warsaw, 02-507, Poland

    Adriana Rakowska

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© 2012 Springer-Verlag London

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Olszewska, M., Rakowska, A., Slowinska, M., Rudnicka, L. (2012). Classic Lichen Planopilaris and Graham Little Syndrome. In: Rudnicka, L., Olszewska, M., Rakowska, A. (eds) Atlas of Trichoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-4486-1_21

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  • DOI: https://doi.org/10.1007/978-1-4471-4486-1_21

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4485-4

  • Online ISBN: 978-1-4471-4486-1

  • eBook Packages: MedicineMedicine (R0)

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