Clinico-pathological concordance rate of scalp lesions showing alopecia
Background: Some alopecic diseases can be diagnosed by detailed history taking and physical examination, but in many cases, biopsy must be performed to make a definite diagnosis. Aims and Objectives: This study aimed to evaluate the clinico-pathological concordance of scalp lesions showing alopecia....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Dermatology |
| Subjects: | |
| Online Access: | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=4;spage=324;epage=327;aulast=Jeong |
| _version_ | 1798018795765235712 |
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| author | Soo Hyun Jeong Dong Yeol Oh Kwang Joong Kim Kwang Ho Kim Eun Joo Park |
| author_facet | Soo Hyun Jeong Dong Yeol Oh Kwang Joong Kim Kwang Ho Kim Eun Joo Park |
| author_sort | Soo Hyun Jeong |
| collection | DOAJ |
| description | Background: Some alopecic diseases can be diagnosed by detailed history taking and physical examination, but in many cases, biopsy must be performed to make a definite diagnosis. Aims and Objectives: This study aimed to evaluate the clinico-pathological concordance of scalp lesions showing alopecia. Materials and Methods: We retrospectively reviewed the electronic medical records and biopsy slides of patients who underwent biopsy for evaluating scalp lesions showing alopecia. Based on the definitions of clinico-pathological concordances, scalp alopecic disease was evaluated. Results: A total of 121 patients were enrolled in the study. A total of 203 clinical differential diagnoses were made before performing a biopsy. Thirty-one patients showed full concordance, and 58 patients showed partial concordance; thus overall concordance was shown in 89 patients (73.55%). Folliculitis decalvans and alopecia areata showed a higher full concordance rate than average (P < 0.05), whereas dissecting folliculitis showed a lower overall concordance rate than average, and folliculitis decalvans showed a higher overall concordance rate than average (P < 0.05). The overall concordance rate of alopecia areata was 100% (P = 0.061). Conclusion: In diagnosing folliculitis decalvans and alopecia areata, which showed high full and overall concordance, performing a biopsy to make a definite diagnosis is not always necessary, especially when patients show typical clinical features. Dissecting folliculitis, which showed low overall concordance, was less likely to be suspected as a clinical differential diagnosis, making it difficult to distinguish based on clinical findings alone. Therefore, when it is suspected, a detailed evaluation including a biopsy is recommended. |
| first_indexed | 2024-04-11T16:30:10Z |
| format | Article |
| id | doaj.art-33e822b541d9413b9908f19e7a71ba0b |
| institution | Directory Open Access Journal |
| issn | 0019-5154 1998-3611 |
| language | English |
| last_indexed | 2024-04-11T16:30:10Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dermatology |
| spelling | doaj.art-33e822b541d9413b9908f19e7a71ba0b2022-12-22T04:14:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112022-01-0167432432710.4103/ijd.ijd_112_22Clinico-pathological concordance rate of scalp lesions showing alopeciaSoo Hyun JeongDong Yeol OhKwang Joong KimKwang Ho KimEun Joo ParkBackground: Some alopecic diseases can be diagnosed by detailed history taking and physical examination, but in many cases, biopsy must be performed to make a definite diagnosis. Aims and Objectives: This study aimed to evaluate the clinico-pathological concordance of scalp lesions showing alopecia. Materials and Methods: We retrospectively reviewed the electronic medical records and biopsy slides of patients who underwent biopsy for evaluating scalp lesions showing alopecia. Based on the definitions of clinico-pathological concordances, scalp alopecic disease was evaluated. Results: A total of 121 patients were enrolled in the study. A total of 203 clinical differential diagnoses were made before performing a biopsy. Thirty-one patients showed full concordance, and 58 patients showed partial concordance; thus overall concordance was shown in 89 patients (73.55%). Folliculitis decalvans and alopecia areata showed a higher full concordance rate than average (P < 0.05), whereas dissecting folliculitis showed a lower overall concordance rate than average, and folliculitis decalvans showed a higher overall concordance rate than average (P < 0.05). The overall concordance rate of alopecia areata was 100% (P = 0.061). Conclusion: In diagnosing folliculitis decalvans and alopecia areata, which showed high full and overall concordance, performing a biopsy to make a definite diagnosis is not always necessary, especially when patients show typical clinical features. Dissecting folliculitis, which showed low overall concordance, was less likely to be suspected as a clinical differential diagnosis, making it difficult to distinguish based on clinical findings alone. Therefore, when it is suspected, a detailed evaluation including a biopsy is recommended.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=4;spage=324;epage=327;aulast=Jeongalopeciabiopsyconcordancescalp |
| spellingShingle | Soo Hyun Jeong Dong Yeol Oh Kwang Joong Kim Kwang Ho Kim Eun Joo Park Clinico-pathological concordance rate of scalp lesions showing alopecia Indian Journal of Dermatology alopecia biopsy concordance scalp |
| title | Clinico-pathological concordance rate of scalp lesions showing alopecia |
| title_full | Clinico-pathological concordance rate of scalp lesions showing alopecia |
| title_fullStr | Clinico-pathological concordance rate of scalp lesions showing alopecia |
| title_full_unstemmed | Clinico-pathological concordance rate of scalp lesions showing alopecia |
| title_short | Clinico-pathological concordance rate of scalp lesions showing alopecia |
| title_sort | clinico pathological concordance rate of scalp lesions showing alopecia |
| topic | alopecia biopsy concordance scalp |
| url | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=4;spage=324;epage=327;aulast=Jeong |
| work_keys_str_mv | AT soohyunjeong clinicopathologicalconcordancerateofscalplesionsshowingalopecia AT dongyeoloh clinicopathologicalconcordancerateofscalplesionsshowingalopecia AT kwangjoongkim clinicopathologicalconcordancerateofscalplesionsshowingalopecia AT kwanghokim clinicopathologicalconcordancerateofscalplesionsshowingalopecia AT eunjoopark clinicopathologicalconcordancerateofscalplesionsshowingalopecia |