People May Ask

Can Lichen Planopilaris Enter A Period of Alleviation Or Reduced Activity?

Within the study group, 43 individuals attained full remission (CR) during the observational period, contrasted with 83 who failed to do so. Amongst the 83 patients who did not reach CR, 35 showed some degree of improvement, while 48 either exhibited no improvement or saw their condition deteriorate. The median duration to attain CR was recorded as 46 months, with a standard deviation of 18.8 months.

What Specialist Handles Cases of Lichen Planopilaris?

Initially, you may commence by consulting with your general practitioner or dental practitioner. It's noteworthy that individuals afflicted with oral lichen planus can also exhibit manifestations of the condition on their skin. Consequently, based on the specific symptoms you exhibit, you might be directed to seek the expertise of a specialist in skin disorders, known as a dermatologist, or a gum and dental health specialist, commonly referred to as a periodontist.

What Is The Duration of The Process for Lichen Planopilaris to Reach Its Exhaustion Stage?

The ailment frequently exhibits a tendency to gradually resolve on its own, albeit this process commonly spans from several months to years. Therapeutic interventions exist that are designed to alleviate the bothersome symptoms of itching, while simultaneously aiming to halt the progression of damage to hair follicles. What constitutes effective treatment strategies for lichen planopilaris?

Am I Destined to Lose All Hair Due to Lichen Planopilaris?

Certain possible consequences of lichen planopilaris encompass: Irreversible hair loss, also known as cicatricial alopecia: This condition may lead to the irreparable damage of hair follicles, ultimately causing scarring and the permanent absence of hair in the affected sections of the scalp. As of May 1, 2024.

Can Vitamin D Contribute Positively to The Management of Lichen Planopilaris?

A study on 34006 individuals revealed a significant prevalence of Vitamin D insufficiency among patients diagnosed with lichen planopilaris and frontal fibrosing alopecia. The essentiality of Vitamin D in facilitating calcium assimilation, maintaining skin equilibrium, and modulating immune responses is well-established. Furthermore, it emerges as a vital factor in supporting the healthy development and cyclical activity of hair follicles.

Is It Advisable to Apply Hair Dye When One Suffers from Lichen Planopilaris?

I am routinely inquired about whether individuals suffering from lichen planopilaris (LPP) and comparable scarring hair loss conditions can safely color their hair. The consensus among experts is that for a vast majority of patients with scarring alopecia, the application of permanent, semi-permanent, or even temporary hair dyes poses no significant risk.

Which Shampoo Is Most Beneficial for Addressing The Condition of Lichen Planopilaris?

Clobex shampoo, formulated with clobetasol proportionate, serves as an illustrative example of a steroid-based shampoo. This particular shampoo effectively alleviates inflammation associated with LPP, with some of my patients opting for a twice-weekly application during LPP flare-ups, while others adopt a once-every-two-weeks regimen when the condition is more stabilized.

What Is Considered The Most Efficient Therapy for Addressing Lichen Planopilaris?

What are the treatment options for lichen planopilaris?
Antibiotics are prescribed to combat bacterial infections and alleviate inflammatory symptoms.
Anti-malarial medications, traditionally used for malaria, can also aid in managing certain inflammatory skin disorders.
Corticosteroids play a crucial role in regulating inflammatory responses.
Low-intensity laser therapy employs targeted light waves for the management of skin inflammation.
Additional modalities are also available...•

Is There A Possibility of Misdiagnosis for Lichen Planopilaris?

Summary. Context: Lichen planopilaris (LPP), a form of lichen planus that specifically affects hair follicles, presents a challenge in diagnosis due to a recently identified subtype that can mimic androgenetic alopecia (AGA), thus potentially leading to misdiagnosis.

Could You Elaborate on The Process of Differentiating Lichen Planopilaris from Other Conditions?

The primary differential diagnoses for LPP encompass conditions such as discoid lupus erythematosus, alopecia areata, centrifugal cicatricial alopecia, and folliculitis decalvans. A thorough physical evaluation, coupled with dermoscopic and histological analyses, plays a pivotal role in distinguishing LPP from these aforementioned conditions. February 27th, 2018

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How Can Dermoscopy Images Be Captured?

Dermoscopy images can be captured and stored in different ways, such as: • Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.• Using a digital camera

Dermoscopy images can be captured and stored in different ways, such as:

• Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.
• Using a digital camera with dermoscopic adapter, there’s 49mm screw size camera adapter available to order now.

Compatible phone/tablet models:
All iPhone models, 95% Android phones, 90% tablet. For phone/tablet size in 5.25-14mm

Compatible camera models:
All camera with built 49mm filter screw, such as Canon EOS 70D, 80D, 90D; Canon EOS R7, R10, R50, R100; Canon M100, M200, M50, Mark II; Canon G7X Mark III, Sony ZV-1

How Can I Connect My Phone to My Dermatoscope?

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide. Smartphone Connector (1) Place phone adapter screw in the center of smartphone’s

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide.

Smartphone Connector

(1) Place phone adapter screw in the center of smartphone’s main camera.
(2) Screw magnet attachment on phone adapter.
(3) Put dermoscope’s back ring and magnet attachment together

Take The Best Images

You need to adjust the focus ring after the dermoscpe connected on smartphone to get the best images.

How Can I Clean My Dermoscopy after Usage?

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always follow the manufacturer’s instructions. However, some general steps are:

• Turn off and disconnect your dermoscopy from any power source or device.

• Wipe off any visible dirt or debris from the dermoscopy with a soft cloth or tissue.

• Disinfect the dermoscopy with an alcohol-based wipe or spray, or a disinfectant solution recommended by the manufacturer. Make sure to cover all surfaces, especially the lens and contact plate.

• Let the dermoscopy air dry completely before storing it in a clean and dry place.

• Do not use abrasive or corrosive cleaners, solvents, or detergents that may damage the dermoscopy.

• Do not immerse the dermoscopy in water or any liquid, unless it is waterproof and designed for immersion.

You should clean your dermoscopy after each use, or at least once a day if you use it frequently. You should also check your dermoscopy regularly for any signs of damage or malfunction, and contact the manufacturer or service provider if needed.

Polarized VS Non-Polarized Dermoscopy

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can improve the diagnose accuracy of skin lesions, such as melanoma,basal cell carcinoma, seborrheic keratosis, etc.

There are two main types of dermoscopy: Non polarized and polarized dermoscopy.We’ve fitted most of our dermoscopys with polarized and non-polarized light. They canbe used in multiple skin structures.

Non-polarized contact Mode

In non-polarized mode, the instrument can provide information about the superficialskin structures, such as milia-like cysts, comedo-like openings, and pigment in theepidemis.

The dermoscopy requires applying a liquid such as mineral oil or alcohol to the skin andplacing the lens in contact with the skin. This reduces surface reflection and enhancesthe view of subsurface structures.

Image with non-polarized light (DE-3100)

Polarized contact Mode

In polarized mode, the instrument allows for visualization for deeper skin structures,such as blood vessels, collagen, and pigment in the dermis.

The dermoscopy does not need to be in contact with the skin or use any liquid. Theirpolarized light can help to eliminate surface reflection and allow visualization ofvascular structures.

Image with polarized light (DE-3100)

Polarized non-contact Mode

The dermoscopy can also use polarized light to examine the skin without direct contact.

In polarized non-contact mode, the instrument allows for examination infected areasand lesions that are painful for the patient, or the difficult to contact pigmented lesions,such as nails and narrow areas.

The contact plate should be removed in this mode, and it does not require applying aliquid to the skin. As it doesn’t require pressure or fluid application on the skin, it canalso avoid cross-contamination and infection risk.

Image in polarized non-contact mode (DE-3100)

How Effectiveness Is Dermoscopy

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination. The dermoscopy allows the

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination.

The dermoscopy allows the examination of skin lesions with magnification and illumination. This can be greatly avoiding the factors that cause interference to visual detection. Such as lighting, skin color, hair and cosmetics.

Several studies have demonstrated that dermoscopy is useful in the identification of melanoma, when used by a trained professional.

It may improve the accuracy of clinical diagnosis by up to 35%
It may reduce the number of harmless lesions that are removed
In primary care, it may increase the referral of more worrisome lesions and reduce the referral of more trivial ones

A 2018 Cochrane meta-analysis published the accuracy of dermoscopy in the detection.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 76 75 3.04 0.32
Dermoscopy with visual inspection (in person) 92 95 18 0.08
Image-based visual inspection alone (not in person) 47 42 0.81 1.3
Dermoscopy with image-based visual inspection (not in person) 81 82 4.5 0.23
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

As we can see, the dermoscope can improve the accuracy of diagnosis of skin lesions, especially melanoma.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 79 77 3.4 0.27
Dermoscopy with visual inspection (in person) 93 99 93 0.07
Image-based visual inspection alone (not in person) 85 87 6.5 0.17
Dermoscopy with image-based visual inspection (not in person) 93 96 23 0.07
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

Characteristics of the dermatoscopic structure of the skin lesions include:

• Symmetry or asymmetry
• Homogeny/uniformity (sameness) or heterogeny (structural differences across the lesion)
• Distribution of pigment: brown lines, dots, clods and structureless areas
• Skin surface keratin: small white cysts, crypts, fissures
• Vascular morphology and pattern: regular or irregular
• Border of the lesion: fading, sharply cut off or radial streaks
• Presence of ulceration

There are specific dermoscopic patterns that aid in the diagnosis of the following pigmented skin lesions:

• Melanoma
• Moles (benign melanocytic naevus)
• Freckles (lentigos)
• Atypical naevi
• Blue naevi
• Seborrhoeic keratosis
• Pigmented basal cell carcinoma
• Haemangioma

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