Lichen planopilaris and frontal fibrosing alopecia cannot be differentiated by histopathology.

Abstract:

BACKGROUND:Lichen planopilaris (LPP) and frontal fibrosing alopecia (FFA) represent 2 entities that cause primary cicatricial alopecia. These entities are clinically different; nevertheless, the literature suggests that FFA represents a form of LPP. The main argument in support of this hypothesis is that previous studies comparing the histologic findings have not found obvious differences between these diseases. METHODS:Our objective was to more critically compare and contrast 20 histologic findings of these diseases in a large number of patients in order to determine any significant histologic differences between LPP and FFA. RESULTS:We found 3 parameters that were statistically different, namely the presence of terminal catagen-telogen hairs (50% FFA vs 23.5% LPP; P = .020); a severe perifollicular inflammatory infiltrate (29.4% LPP vs 4.6% FFA; P = .010) and a zone of concentric lamellar fibroplasia (85.3% LPP vs 63.6% FFA; P = .041). CONCLUSIONS:Although a few histologic features differ between FFA and LPP, we believe that these differences are too subtle or non-specific to distinguish between them with confidence. Therefore, clinical correlation is essential to establish the diagnosis.

journal_name

J Cutan Pathol

authors

Gálvez-Canseco A,Sperling L

doi

10.1111/cup.13112

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

313-317

issue

5

eissn

0303-6987

issn

1600-0560

journal_volume

45

pub_type

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