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KMID : 0363219970350010139
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Korean Journal of Dermatology
1997 Volume.35 No. 1 p.139 ~ p.143
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A Case of Lichen Planopilaris
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임미혜
박종혁/이승철/원영호/전인기
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Abstract
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lichen planopilaris is believed to be a variant of lichen planus which is occasionally accompanied by classical lichen planus.
A 68-year-old male had asymptomatic ski colored or light violet colored papules and nodules on the occipital area followed by hair loss for 2 months. He had also violaceous pea to bean sized whitish scaly papules on the right lower extremity.
Histopathological examination revealed the dilated follicles to be filled with horny material. There were also intense infiltrations of monocytes which were more most prominent at the lower pole of the hair follicles on the scalp lesion. There
was
also
hyperkeratosis, focal hypergranulosis and band-like infiltrations of lymphocytes at the dermo-epidermal junction on the lesion of the lower extremity. Direct immunofluorescence examination showed linear deposition of fibrin at the dermo-epidermal
junction in the hair follicles.
We had an opportunity to observe a man with lichen planopilaris who had loss of scalp hair which was accompanied by classical lichen planus on the lower extremity. (Kor J Dermatol 1997;35(1) : 139∼143)
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