Lichen Planopilaris Versus Discoid Lupus Erythematosus: A Trichoscopic Perspective
A 27-year-old male presented with hair loss from the scalp since 6 months. Itching and slight burning sensation was present. It was progressive, covering almost entire vertex area extending to the parietal areas. Examination revealed well-defined purplish plaques with atrophy of skin [].\nTrichoscopy showed perifollicular scales (black stars), diminished follicular ostia and white dots (red stars). Blue-grey dots (yellow arrows) around the follicular structures were seen as a “target” pattern [].\nHistopathology of a lesion showed infundibular hyperkeratosis, hypergranulosis, bandlike infiltrate of lymphocytes with sparing of interfollicular areas, which are consistent with diagnosis of LPP [].