34272 A remarkably spongy scalp in a patient with hair loss: Lichen planopilaris occurring simultaneously with lipedematous scalp

Abstract

A 57-year-old female presented for hair loss of at least 10 years duration with associated scalp pruritus and burning. On examination of the scalp, there were few localized areas of scarring hair loss with loss of follicular ostia under trichoscopy as well as adjacent areas of perifollicular erythema and scaling. Of note, the patient’s scalp was remarkably thickened and spongy on palpation without fluctuance. Two punch biopsies were submitted for vertical and horizontal sectioning in areas of perifollicular erythema and scaling.