Indian Journal of Dermatology
: 2022  |  Volume : 67  |  Issue : 4  |  Page : 324--327

Clinico-pathological concordance rate of scalp lesions showing alopecia

Soo Hyun Jeong, Dong Yeol Oh, Kwang Joong Kim, Kwang Ho Kim, Eun Joo Park 
 From the Department of Dermatology, College of Medicine, Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea

Correspondence Address:
Eun Joo Park
22 Gwanpyeong-ro 170beon-gil Dongan-gu, Anyang-si Gyeonggi-do

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.

How to cite this article:
Jeong SH, Oh DY, Kim KJ, Kim KH, Park EJ. Clinico-pathological concordance rate of scalp lesions showing alopecia.Indian J Dermatol 2022;67:324-327

How to cite this URL:
Jeong SH, Oh DY, Kim KJ, Kim KH, Park EJ. Clinico-pathological concordance rate of scalp lesions showing alopecia. Indian J Dermatol [serial online] 2022 [cited 2022 Nov 26 ];67:324-327
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