Reticulated Hyperpigmentation as a Sign of Lichen Planopilaris

Author:

Goldman Chloe,Williams Natalie M.,Tosti AntonellaORCID,Romanelli Paolo,Morrison Brian

Abstract

<b><i>Introduction:</i></b> Reticulated hyperpigmentation is a relatively uncommon dermatologic pattern. It is used to describe brown-colored skin lesions that manifest in a lacy or net-like distribution. When a clinician encounters a patient with reticulated hyperpigmentation, its location is often the most helpful feature in establishing a differential diagnosis. As this pattern is rarely observed on the scalp, this site is currently not included in the diagnostic approach. <b><i>Case Presentation:</i></b> In this report, we present a case of lichen planopilaris (LPP) in a black man who presented with reticulated hyperpigmentation over the scalp. <b><i>Conclusion:</i></b> We suggest that it may be warranted to add LPP to the differential diagnosis of reticulated hyperpigmentation, especially when arising on the scalp of darker skinned individuals.

Publisher

S. Karger AG

Subject

Dermatology

Reference4 articles.

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2. Sharma VK, Bhari N, Subhadarshani S, Taneja N, Deepak RK. Reticulate pigmentation associated with scarring alopecia in an elderly woman: an unusual manifestation of lichen planus pigmentosus. Indian J Dermatol. 2016;61(6):700.

3. Duque-Estrada B, Estrada BD, Tamler C, Sodré CT, Barcaui CB, Pereira FB. Dermoscopy patterns of cicatricial alopecia resulting from discoid lupus erythematosus and lichen planopilaris. An Bras Dermatol. 2010;85(2):179–83.

4. Pirmez R, Duque-Estrada B, Donati A, Campos-do-Carmo G, Valente NS, Romiti R, et al. Clinical and dermoscopic features of lichen planus pigmentosus in 37 patients with frontal fibrosing alopecia. Br J Dermatol. 2016;175(6):1387–90.

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1. Scarring Alopecia;Dermatologic Clinics;2023-07

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