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Image Number 532 (Pseudopelade of Brocq)

Hair loss localised

Diagnosis: Pseudopelade of Brocq

Site: Scalp

Sex: M

Age: 45

Type: Clinical

Description: Cicatricial alopecia and perifollicular scaling

Submitted by: Shahbaz Janjua

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Differential Diagnosis

History: Pseudopelade of Brocq is a nonspecific cicatricial end stage of scalp diseases( such as DLE and LPP) resulting in cicatricial alopecia.  The classic description of "footprints in the snow" refers to dermal atrophy causing a slight depression below the surrounding normal scalp.  Usually, only mild erythema and slight perifollicular scaling are present.  There is often no clinical evidence of inflammation. 

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