Saceda-Corralo David, Tosti Antonella
Dermatology Department, Ramón y Cajal Hospital, Madrid, Spain.
Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, FL, USA.
Skin Appendage Disord. 2018 Jan;4(1):31-33. doi: 10.1159/000478022. Epub 2017 Jul 12.
Linear scleroderma en coup de sabre (LSCS) is the most common form of morphea on the scalp and its trichoscopic features have not been described yet. We report 2 adult women with LSCS with distinct dermoscopic findings. They both had an atrophic well-defined linear patch of alopecia on the frontotemporal scalp. Dermoscopy showed loss of follicular openings on a whitish skin surface; scattered black dots, broken hairs, and pili torti; and short thick linear and branching tortuous vessels on the periphery of the lesion. Pathology confirmed the diagnosis of LSCS in the 2 cases. This description of dermoscopic features in LSCS on the scalp may help in the early diagnosis of the disease.
线状硬皮病(en coup de sabre型,LSCS)是头皮部硬斑病最常见的类型,其皮肤镜特征尚未见报道。我们报告2例成年女性LSCS患者,有独特的皮肤镜表现。她们在额颞部头皮均有萎缩性、边界清晰的线状脱发斑。皮肤镜检查显示白色皮肤表面毛囊开口缺失;散在黑点、断发及扭曲发;病变周边有短而粗的线状及分支状迂曲血管。病理检查确诊了这2例LSCS。头皮部LSCS皮肤镜特征的描述可能有助于该病的早期诊断。