Document Detail


Subclinical speckled perifollicular melanosis of the scalp.
MedLine Citation:
PMID:  12459529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Based on the clinical presentation of some skin pigmentation disorders it is thought that a bicompartmental functional system exists in the epidermal melanocyte population. It corresponds to the perifollicular and interfollicular compartments, respectively. The present study was undertaken looking for the presence of such a system on scalp unaffected by pigmentary disorders. The scalps of 100 men with incipient to severe androgenic alopecia were examined using a videocamera equipped with an internal ultraviolet light-emitting unit. The face, trunk and limbs were similarly examined in 45 of these adults and in 13 children of both sexes. In 92 men, a subclinical hypermelanosis was found as a speckled pattern centered on every single follicle. With increasing baldness severity, another epidermal hyperpigmentation pattern involving the interfollicular area was superimposed to the perifollicular pattern. These stereotyped patterns of subclinical melanoderma were also disclosed on the face of adults, but not in children. In addition, the spotty perifollicular pattern was discrete or not apparent on the other parts of the body. It is concluded that the perifollicular subclinical melanotic pattern is a regional characteristic of cephalic skin, perhaps related to the local production of melanocortins, particularly alpha-MSH by the pilosebaceous unit.
Authors:
Ludivine Petit; Claudine; Piérard-Franchimont; Didier Saint Léger; Geneviève Loussouarn; Gérald E Piérard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of dermatology : EJD     Volume:  12     ISSN:  1167-1122     ISO Abbreviation:  Eur J Dermatol     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2002-12-02     Completed Date:  2003-03-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206420     Medline TA:  Eur J Dermatol     Country:  France    
Other Details:
Languages:  eng     Pagination:  565-8     Citation Subset:  IM    
Affiliation:
Department of Dermatopathology, University Medical Center Sart Tilman and Sauvenière, B-4000 Liège, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Alopecia / diagnosis,  pathology*
Child
Disease Susceptibility
Female
Humans
Male
Melanosis / diagnosis,  pathology*
Middle Aged
Prospective Studies
Risk Assessment
Scalp Dermatoses / diagnosis,  pathology*
Sensitivity and Specificity
Skin / pathology,  ultrastructure
Ultraviolet Rays / diagnostic use*
Video Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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