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Image Number #1510 (Pseudopelade of Brocq)

Diagnosis: Pseudopelade of Brocq

Description: Cicatricial alopecia and perifollicular scaling

Morphology: Hair loss localised

Site: Scalp

Sex: M

Age: 45

Type: Clinical

Submitted By: Shahbaz Janjua

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Differential Diagnosis
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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. 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Pseudopelade of Brocq"

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