Abstract

To the Editor: Histopathologic examination is a critical step in the diagnosis of alopecia. Nevertheless, the optimal processing method for scalp biopsy tissue remains an area of debate with no definitive gold standard. 1 Tailor A. Asher R.G. Craig P.J. Groves R.W. Fenton D.A. Stefanato C.M. The current state of play in the histopathologic assessment of alopecia: two for one or one for two?. J Cutan Pathol. 2013; 40: 298-304 Crossref PubMed Scopus (12) Google Scholar , 2 Frishberg D.P. Sperling L.C. Guthrie V.M. Transverse scalp sections: a proposed method for laboratory processing. J Am Acad Dermatol. 1996; 35: 220-222 Abstract Full Text PDF PubMed Google Scholar , 3 Nguyen J.V. Hudacek K. Whitten J.A. Rubin A.I. Seykora J.T. The HoVert technique: a novel method for the sectioning of alopecia biopsies. J Cutan Pathol. 2011; 38: 401-406 Crossref PubMed Scopus (37) Google Scholar , 4 Elston D.M. The “Tyler technique” for alopecia biopsies. J Cutan Pathol. 2012; 39: 306 Crossref PubMed Scopus (13) Google Scholar Our institution employed the classic bisected transverse Headington method for decades but frequently required additional levels to visualize the epidermis, compromising the turnaround time and adding to the laboratory costs. 5 Headington J.T. Transverse microscopic anatomy of the human scalp. A basis for a morphometric approach to disorders of the hair follicle. Arch Dermatol. 1984; 120: 449-456 Crossref PubMed Scopus (335) Google Scholar

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