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Hair Follicle Openings: Dots

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Atlas of Trichoscopy

Abstract

The term dots refers to hair follicle openings seen from the perspective of a dermoscope. Black dots are residues of pigmented hairs broken or destroyed at scalp level. Yellow dots are follicular infundibula with keratotic material and/or sebum. Fibrotic white dots represent fibrosis in areas of selective follicular destruction. Pinpoint white dots are observed in patients with dark skin phototypes. They correspond to empty hair follicles or to the epidermal portion of eccrine sweat ducts. Red dots have been described in discoid lupus erythematosus. Pink to pink-brown dots are a characteristic finding in the eyebrow area of patients with frontal fibrosing alopecia.

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References

  1. Ross EK, Vincenzi C, Tosti A. Videodermoscopy in the evaluation of hair and scalp disorders. J Am Acad Dermatol. 2006;55(5):799–806.

    Article  PubMed  Google Scholar 

  2. Inui S, Nakajima T, Nakagawa K, Itami S. Clinical significance of dermoscopy in alopecia areata: analysis of 300 cases. Int J Dermatol. 2008;47(7):688–93.

    Article  PubMed  Google Scholar 

  3. Rudnicka L, Olszewska M, Rakowska A, Kowalska-Oledzka E, Slowinska M. Trichoscopy: a new method for diagnosing hair loss. J Drugs Dermatol. 2008;7(7):651–4.

    PubMed  Google Scholar 

  4. Rudnicka L, Olszewska M, Rakowska A, Slowinska M. Trichoscopy update 2011. J Dermatol Case Rep. 2011;5(4):82–8.

    Article  PubMed  Google Scholar 

  5. Inui S. Trichoscopy for common hair loss diseases: algorithmic method for diagnosis. J Dermatol. 2011;38(1):71–5.

    Article  PubMed  Google Scholar 

  6. Rakowska A. Trichoscopy (hair and scalp videodermoscopy) in the healthy female. Method standardization and norms for measurable parameters. J Dermatol Case Rep. 2009;3(1):14–9.

    Article  PubMed  Google Scholar 

  7. Rakowska A, Slowinska M, Kowalska-Oledzka E, Olszewska M, Rudnicka L. Dermoscopy in female androgenic alopecia: method ­standardization and diagnostic criteria. Int J Trichol. 2009;1(2):123–30.

    Article  Google Scholar 

  8. Lacarrubba F, Dall’Oglio F, Rita Nasca M, Micali G. Video­dermatoscopy enhances diagnostic capability in some forms of hair loss. Am J Clin Dermatol. 2004;5(3):205–8.

    Article  PubMed  Google Scholar 

  9. de Moura LH, Duque-Estrada B, Abraham LS, Barcaui CB, Sodre CT. Dermoscopy findings of alopecia areata in an African-American patient. J Dermatol Case Rep. 2008;2(4):52–4.

    PubMed  Google Scholar 

  10. Abraham LS, Pineiro-Maceira J, Duque-Estrada B, Barcaui CB, Sodre CT. Pinpoint white dots in the scalp: dermoscopic and ­histopathologic correlation. J Am Acad Dermatol. 2010;63(4):721–2.

    Article  PubMed  Google Scholar 

  11. Tosti A, Torres F, Misciali C, Vincenzi C, Starace M, Miteva M, et al. Follicular red dots: a novel dermoscopic pattern observed in scalp discoid lupus erythematosus. Arch Dermatol. 2009;145(12):1406–9.

    Article  PubMed  Google Scholar 

  12. Sah DE, Koo J, Price VH. Trichotillomania. Dermatol Ther. 2008;21(1):13–21.

    Article  PubMed  Google Scholar 

  13. Rebora A. Alopecia areata incognita. J Am Acad Dermatol. 2011;65(6):1228.

    Article  PubMed  Google Scholar 

  14. Tosti A, Whiting D, Iorizzo M, Pazzaglia M, Misciali C, Vincenzi C, et al. The role of scalp dermoscopy in the diagnosis of alopecia areata incognita. J Am Acad Dermatol. 2008;59(1):64–7.

    Article  PubMed  Google Scholar 

  15. Rakowska A, Slowinska M, Kowalska-Oledzka E, Olszewska M, Czuwara J, Rudnicka L. Alopecia areata incognita: true or false? J Am Acad Dermatol. 2009;60(1):162–3.

    Article  PubMed  Google Scholar 

  16. Rakowska A, Slowinska M, Kowalska-Oledzka E, Olszewska M, Rudnicka L. Trichoscopy in cicatricial alopecia. J Drugs Dermatol. 2012;11(6):753–8.

    PubMed  Google Scholar 

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Correspondence to Lidia Rudnicka .

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© 2012 Springer-Verlag London

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Rudnicka, L. et al. (2012). Hair Follicle Openings: Dots. In: Rudnicka, L., Olszewska, M., Rakowska, A. (eds) Atlas of Trichoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-4486-1_3

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  • DOI: https://doi.org/10.1007/978-1-4471-4486-1_3

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