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Diseases of the Follicular Unit
DermAtlas_PFB-11.13.2023-59530070
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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DermAtlas_PFB-11.13.2023-59530070
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DermAtlas_PFB-11.13.2023-59529646
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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DermAtlas_PFB-11.13.2023-59529646
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DermAtlas_PFB-11.13.2023-59529680
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_PFB-11.13.2023-59529680
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DermAtlas_Comedonal acne_face-frontal-10.30.2023-58750980
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas_Comedonal acne_face-frontal-10.30.2023-58750980
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DermAtlas__acne_keloidalis_nuchae
Acne Keloidalis Nuchae: Log into your JDD account to access high resolution images and request permissions.
DermAtlas__acne_keloidalis_nuchae
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DermAtlas-fullface_03.18.2024-66160587 copy 2
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-fullface_03.18.2024-66160587 copy 2
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DermAtlas-lowerhalf_03.18.2024-66160587 copy
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-lowerhalf_03.18.2024-66160587 copy
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DermAtlas-profile_03.18.2024-66160611 copy
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-profile_03.18.2024-66160611 copy
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DermAtlas-profile203.18.2024-66174761 copy
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-profile203.18.2024-66174761 copy
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JDD Acne 21-12
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD Acne 21-12
Eleryan: approve
Friedman: approve
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JDD Acne M6419 1
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD Acne M6419 1
Approve
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JDD Acne 21_12 2
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD Acne 21_12 2
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DermAtlas_Perioral dermatitis_-10.30.2023-58785308
Periorificial Dermatitis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Perioral dermatitis_-10.30.2023-58785308
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GW_Friedman_-11.06.2023-591309841 Rosacea
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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GW_Friedman_-11.06.2023-591309841 Rosacea
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GW_Friedman_-11.06.2023-59130984 rosacea
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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GW_Friedman_-11.06.2023-59130984 rosacea
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JDD C7237 Figure 1B Rosacea 22_6
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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JDD C7237 Figure 1B Rosacea 22_6
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JDD Case1 Picture 1B hyperpigentation 22_5
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD Case1 Picture 1B hyperpigentation 22_5
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JDD Case3 Picture 3A hyperpigmentation 22_5 profile
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD Case3 Picture 3A hyperpigmentation 22_5 profile
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JDD Case3 Picture 3A hyperpigmentation 22_5
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD Case3 Picture 3A hyperpigmentation 22_5
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DermAtlas_Comedonal acne_face-oblique-right-10.30.2023-58751034
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas_Comedonal acne_face-oblique-right-10.30.2023-58751034
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DermAtlas_Majocchi granuloma2
Majocchi granuloma: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Majocchi granuloma2
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JDD M6070 Figure 4 Acne 20_6 1
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD M6070 Figure 4 Acne 20_6 1
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JDD M6419 Acne 3
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD M6419 Acne 3
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JDD M6419 Acne 2
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD M6419 Acne 2
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DermAtlas_GW-10.25.2023-58751005
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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DermAtlas_GW-10.25.2023-58751005
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DermAtlas_GW-10.25.2023-58751016
Androgenic Alopecia: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_GW-10.25.2023-58751016
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DermAtlas_GW-10.25.2023-58751016
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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DermAtlas_GW-10.25.2023-58751016
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JDD M6778 Figure 2 acne 21_6 2
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD M6778 Figure 2 acne 21_6 2
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JDD M6876 Figure 4 acne 21_6_1
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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JDD M6876 Figure 4 acne 21_6_1
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JDD M7021 Erythematotelangiectatic rosacea 22_1
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

Log into your JDD account to access high resolution images and request permissions.
JDD M7021 Erythematotelangiectatic rosacea 22_1
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JDD M7021 Rosacea 22_1
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

Log into your JDD account to access high resolution images and request permissions.
JDD M7021 Rosacea 22_1
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JDD M7161 Figure 1 alopecia A 22_3
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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JDD M7161 Figure 1 alopecia A 22_3
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JDD M7161 Figure 2 alopecia areata 22_3
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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JDD M7161 Figure 2 alopecia areata 22_3
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JDD M7161 Figure 4 Alopecia A 22_3
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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JDD M7161 Figure 4 Alopecia A 22_3
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DermAtlas_Lichen planopilaris -12.18.2023-61473186
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

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DermAtlas_Lichen planopilaris -12.18.2023-61473186
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DermAtlas_NA_031824.1
Acne Keloidalis Nuchae: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_NA_031824.1
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DermAtlas_NA_D_031824
Acne Keloidalis Nuchae: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_NA_D_031824
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DermAtlas_Rosacea and Seborrheic dermatitis_face-frontal-12.11.2023-61063215
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Rosacea and Seborrheic dermatitis_face-frontal-12.11.2023-61063215
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DermAtlas_Folliculitis_back_GW_3closeup
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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DermAtlas_Folliculitis_back_GW_3closeup
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DermAtlas_Rosacea and Seborrheic dermatitis_face-oblique-right-12.11.2023-61069368
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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DermAtlas_Rosacea and Seborrheic dermatitis_face-oblique-right-12.11.2023-61069368
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DermAtlas_Folliculitis_GW_1_lowerabdo
Furunculosis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Folliculitis_GW_1_lowerabdo
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DermAtlas_Folliculitis_GW_1
Furunculosis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Folliculitis_GW_1
Eleryan: approve
Friedman: same comment about before -  mix of folliculitis and furunculosis
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DermAtlas_Folliculitis_GW_2
Furunculosis: Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Folliculitis_GW_2
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DermAtlas_Frontal fibrosing alopecia and lichen planus pigmentosus_1
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

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DermAtlas_Frontal fibrosing alopecia and lichen planus pigmentosus_1
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DermAtlas_Frontal fibrosing alopecia and lichen planus pigmentosus_4
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Frontal fibrosing alopecia and lichen planus pigmentosus_4
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DermAtlas_Frontal fibrosing alopecia_2
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

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DermAtlas_Frontal fibrosing alopecia_2
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DermAtlas_Frontal fibrosing alopecia_closeup1
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Frontal fibrosing alopecia_closeup1
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DermAtlas_frontal fibrosing alopecia_GW_3
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_frontal fibrosing alopecia_GW_3
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DermAtlas_Rosacea and Seborrheic dermatitis_face-chin-down-12.11.2023-61069416
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Rosacea and Seborrheic dermatitis_face-chin-down-12.11.2023-61069416
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DermAtlas_Rosacea and Seborrheic dermatitis_face-lateral-right-12.11.2023-61069381
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Rosacea and Seborrheic dermatitis_face-lateral-right-12.11.2023-61069381
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DermAtlas_Rosacea and Seborrheic dermatitis_face-oblique-left-12.11.2023-61063278
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Rosacea and Seborrheic dermatitis_face-oblique-left-12.11.2023-61063278
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Condition:
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DermAtlas_1frontal fibrosing alopecia_GW_7
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_1frontal fibrosing alopecia_GW_7
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DermAtlas_closeup_Lichen planus pigmentosus and frontal fibrosing alopecia_GW-5
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_closeup_Lichen planus pigmentosus and frontal fibrosing alopecia_GW-5
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DermAtlas_Frontal fibrosing alopecia and lichen planus pigmentosus_profile3
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Frontal fibrosing alopecia and lichen planus pigmentosus_profile3
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DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_2
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_2
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DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_3
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_3
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DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_6b
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_6b
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DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW-5
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_Lichen planus pigmentosus and frontal fibrosing alopecia_GW-5
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DermAtlas_forhead_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_1b
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_forhead_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_1b
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DermAtlas_fullface_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_1b
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
DermAtlas_fullface_Lichen planus pigmentosus and frontal fibrosing alopecia_GW_1b
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DermAtlas_Folliculitis_back_GW_3 R1
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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DermAtlas_Folliculitis_back_GW_3 R1
APPROVE
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DermAtlas_Folliculitis_fullback_GW_3 R1
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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DermAtlas_Folliculitis_fullback_GW_3 R1
ALOT OF THE SAME PHOTO
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DermAtlas-03.18.2024-66160611 1
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-03.18.2024-66160611 1
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DermAtlas-03.18.2024-66160611
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-03.18.2024-66160611
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DermAtlas-03.18.2024-66174761
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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DermAtlas-03.18.2024-66174761
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Trichoepithelioma_nose_Friedman 1.jpg
Trichoepithelioma: Log into your JDD account to access high resolution images and request permissions.
Trichoepithelioma_nose_Friedman 1.jpg
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Unclassified
Trichoepithelioma_B_Face1.jpg
Trichoepithelioma: Log into your JDD account to access high resolution images and request permissions.
Trichoepithelioma_B_Face1.jpg
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Unclassified
Acne_A_Facial1.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_A_Facial1.jpg
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Acne_B_Profile_Facial.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_B_Profile_Facial.jpg
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Acne_C_Profile.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_C_Profile.jpg
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Acne_D_2_JDD1.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_D_2_JDD1.jpg
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Acne_D_Face1.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_D_Face1.jpg
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Tags:
Acne_D_facial3.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_D_facial3.jpg
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Acne_A_Face_2.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_A_Face_2.jpg
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Acne_B_Face_1JDD.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_B_Face_1JDD.jpg
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Acne_C_Face_2JDD.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

Log into your JDD account to access high resolution images and request permissions.
Acne_C_Face_2JDD.jpg
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Condition:
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Acne_D_Face_JDD1.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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Acne_D_Face_JDD1.jpg
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Acne_D_JDD_2.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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Acne_D_JForehead_DD_2.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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Acne_D_JForehead_DD_2.jpg
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Comedonal Acne_D_1_Forehead.jpg
Acne: One of the key characteristics of acne is post-inflammatory hyperpigmentation and is most noticeable in darker skin tones. It is also important to point out that keloidal or hypertrophic scarring may result and should be considered when treating patients.

Here we can appreciate the erythema of inflammatory papules in lighter skin tones and the brown coloration of inflammatory papules mimicking post-inflammatory hyperpigmentation in darker skin tones.

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Comedonal Acne_D_1_Forehead.jpg
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Rosacea3_A_Profile.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_A_Profile_2.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_A_Profile_2.jpg
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Rosacea_D_Profile2.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_D_Profile2.jpg
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rosacea_c_Profile_2.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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rosacea_c_Profile_2.jpg
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Rosacea_D_Profile5.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_D_Profile5.jpg
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Rosacea3_B_Full.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea3_B_Full.jpg
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Rosacea_A_lowerFace.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_A_lowerFace.jpg
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Rosacea_C2_Face.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_C2_Face.jpg
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rosacea_c_Face_.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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rosacea_c_Face_.jpg
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Rosacea_D_Face_4.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_D_Face_4.jpg
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Rosacea3_B_FullFace.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea3_B_FullFace.jpg
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Rosacea_A_FullFace.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_A_FullFace.jpg
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Rosacea_C2_FullFace.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_C2_FullFace.jpg
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rosacea_c_Face_Full.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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rosacea_c_Face_Full.jpg
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Rosacea_D_Face_5.jpg
Rosacea: Erythematous, violaceous, or hyperpigmented patches may present with telangiectasias on the cheeks and glabella. In darker skin tones acneiform papules amidst mild phymatous changes (pronounced and dilated ostia) may be a better diagnostic clue. It is important not to be limited by the guideline based essential feature of persistent erythema.

One of the early signs of rosacea is flushing, which can be easily missed or even mistaken in darker skin tones for another condition. However, often all patients describe a feeling of warmth.

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Rosacea_D_Face_5.jpg
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perioral dermatitis type b.jpg
Periorificial Dermatitis: Log into your JDD account to access high resolution images and request permissions.
perioral dermatitis type b.jpg
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PerioralDermatitis_A_Mouth.jpg
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Perioral_Dermatitis_C_Profile.jpg
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Perioral_Dermatitis_C_Fullface.jpg
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Folliculitis_A_Back3_Closeup.jpg
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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Folliculitis_A_Back3_Closeup.jpg
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Folliculitis_Scalp_C.jpg
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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Folliculitis_Scalp_C.jpg
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Folliculitis_B_Back_Closeup2.jpg
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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Folliculitis_B_Back_Closeup2.jpg
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Folliculitis_E_ 58140.jpg
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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Folliculitis_E_ 58140.jpg
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Folliculitis_A_Back3.jpg
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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Folliculitis_A_Back3.jpg
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Folliculitis_B_Back_2.jpg
Folliculitis: Note the follicular pustules present in all of the images. However, if the location of the pustules are on the posterior scalp or beard area, these might represent early presentation of other follicular conditions such as acne keloidalis nuchae or pseudofolliculitis barbae respectively. Post-inflammatory sequelae will also be more prominent in darker skin tones—an impact that is often disabling to the patient but also a clinical sign of chronicity.

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Folliculitis_B_Back_2.jpg
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PFB type A_Chin.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB type A_Chin.jpg
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PFB_b_Profile2.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB_b_Profile2.jpg
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PFB_C_Chin.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB_C_Chin.jpg
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PFB_E_Chin_5.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB_E_Chin_5.jpg
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PFB_E_JDD.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB_E_JDD.jpg
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PFB type A_closeup.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB type A_closeup.jpg
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Tags:
PFB_b_Profile2_Closeup.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB_b_Profile2_Closeup.jpg
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PFB_C_Chin_Closeup.jpg
Pseudofolliculitis Barbae: It is easier to appreciate the post-inflammatory hyperpigmentation of pseudofolliculitis barbae in darker skin tones. Though notice the pink papules with perifollicular erythema in lighter skin tones. Even if erythema is not appreciated, the presence of papules should be interpreted as active disease. Furthermore, you can see here how the coiled hair is seen re-entering the dermis creating an inflammatory response.

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PFB_C_Chin_Closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/5fe9db7167c8e137f73309cb62eecc67-small.jpg
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HS_Genital_B_1.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_Genital_B_1.jpg
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HS_C_Genital.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_C_Genital.jpg
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Hidradenitis Suppurativa_D_Geintal.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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Hidradenitis Suppurativa_D_Geintal.jpg
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HS_E_Thigh.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_E_Thigh.jpg
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Tags:
HS_Genital_B_1_Closeup.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_Genital_B_1_Closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/c4ef4b6bba92fe4972b508b88c9c0191-small.jpg
Tags:
HS_C_Genital_Closeup.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_C_Genital_Closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/f103092efe29933ba8a0018e2285b620-small.jpg
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HidradenitisSuppurativa_B_Back_1.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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Hidradenitis_E_Back_3.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HidradenitisSuppurativa_B_Axilla4.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HidradenitisSuppurativa_B_Axilla4.jpg
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HidradenitisSuppurativa_B_Underarm_3.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HidradenitisSuppurativa_B_Underarm_3.jpg
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HS_D_2_Axilla.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_D_2_Axilla.jpg
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HS_axilla_E.jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_axilla_E.jpg
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HS_E_Axilla_3 .jpg
Hidradenitis Suppurativa: Hidradenitis suppurativa is a fluctuant and polymorphic disease affecting mainly intertriginous areas. In darker skin tones, the papulonodules may initially present with a violaceous or brown hue instead of the more classic presentation of erythematous papules or nodules. Moreover, post-inflammatory hyperpigmentation is often more noticeable throughout the course of the disease.

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HS_E_Axilla_3 .jpg
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AndrogenicAlopecia_A_Scalp.jpg
Androgenic Alopecia: Log into your JDD account to access high resolution images and request permissions.
AndrogenicAlopecia_A_Scalp.jpg
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andro_alopecia_B_ DIR58087.jpg
Androgenic Alopecia: Log into your JDD account to access high resolution images and request permissions.
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AndrogenicAlopecia_C_Top2.jpg
Androgenic Alopecia: Log into your JDD account to access high resolution images and request permissions.
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D_Androgenic alopecia_Scalp.jpg
Androgenic Alopecia: Log into your JDD account to access high resolution images and request permissions.
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androgenetic alopecia_D_DIR61561.jpg
Androgenic Alopecia: Log into your JDD account to access high resolution images and request permissions.
androgenetic alopecia_D_DIR61561.jpg
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Condition:
AlopeciaAreata_B_Back.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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AlopeciaAreata_B_Back.jpg
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Condition:
Alopecia Areata_C_8.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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Alopecia Areata_C_8.jpg
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Condition:
AlopeciaAreata_C_4 .jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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AlopeciaAreata_C_4 .jpg
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Condition:
AlopeciaAreata_B_Closeup.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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AlopeciaAreata_B_Closeup.jpg
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Condition:
Alopecia Areata_B_Scalp_Side.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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Alopecia Areata_B_Scalp_Side.jpg
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Condition:
AlopeciaAreata_C_Closeup4 .jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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AlopeciaAreata_C_Closeup4 .jpg
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Condition:
Alopecia Areata_D_Scalp_Side.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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Alopecia Areata_D_Scalp_Side.jpg
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Condition:
AlopeciaAreata_B_Adusumilli_Profile_1.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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AlopeciaAreata_B_Adusumilli_Profile_1.jpg
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Condition:
alopecia areata type d skin_Profile.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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alopecia areata type d skin_Profile.jpg
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Condition:
AlopeciaAreata_OphiasisPattern_D_.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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AlopeciaAreata_OphiasisPattern_D_.jpg
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Condition:
TractionAlopecia_E_ProfileHairline_7.jpg
Traction Alopecia: Log into your JDD account to access high resolution images and request permissions.
TractionAlopecia_E_ProfileHairline_7.jpg
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Condition:
Traction Alopecia_Hairline_E_11.jpg
Traction Alopecia: Log into your JDD account to access high resolution images and request permissions.
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Condition:
Alopeciareata_c_chin4.jpg
Alopecia Areata: Though this collection of images depicts the scalp, the patchy or coin-shaped hair loss of alopecia areata can develop on other locations of the body including the beard, eyebrows, eyelashes, axillary, and could even include the inside of the ears and nose. Notice the fine white hair that will thicken and regain color with time— a sign of regrowth.

Note the exclamation mark hairs that are characteristic of alopecia areata. Keep in mind to examine the patient’s nails—they might be brittle and have dents or ridges. Furthermore, alopecia areata presenting on the frontotemporal scalp in coarser hair types can often be misdiagnosed as traction alopecia. Therefore it is important to take a good history combined with a thorough clinical examination (and/or biopsy, if necessary) to rule out different forms of alopecia.

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Alopeciareata_c_chin4.jpg
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Condition:
CCCA_Scalp_B2.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

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CCCA_Scalp_B2.jpg
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CCCA_d_scalp1.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

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CCCA_d_scalp1.jpg
https://cms.sanovaworks.com/uploads/2022/09/4ed9d6e6155347e60f3abff829b9f805-small.jpg
CCCA_Scalp_D3.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

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CCCA_Scalp_D3.jpg
https://cms.sanovaworks.com/uploads/2022/09/b0f9541de728d2c567678a2f2a2aa9a8-small.jpg
CCCA_D_Scalp_2.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

Log into your JDD account to access high resolution images and request permissions.
CCCA_D_Scalp_2.jpg
https://cms.sanovaworks.com/uploads/2022/09/07075ae26de799b3a633ce6c3028fdf4-small.jpg
CCCA_D_Scalp_1.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

Log into your JDD account to access high resolution images and request permissions.
CCCA_D_Scalp_1.jpg
https://cms.sanovaworks.com/uploads/2022/09/2ef3bd6fb932d771ac91613c777d6d01-small.jpg
CCCA_D_Scalp_Closeup2.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

Log into your JDD account to access high resolution images and request permissions.
CCCA_D_Scalp_Closeup2.jpg
https://cms.sanovaworks.com/uploads/2022/09/a719a7c6e4a5f62741b3ee830eae2b49-small.jpg
CCCA_D_Scalp_1Closeup.jpg
Central Centrifugal Cicatricial Alopecia: Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

Log into your JDD account to access high resolution images and request permissions.
CCCA_D_Scalp_1Closeup.jpg
https://cms.sanovaworks.com/uploads/2022/09/634d56a36591543361e3e32bbcbeee1b-small.jpg
LPP_FFA_Front_B.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

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LPP_FFA_Front_B.jpg
https://cms.sanovaworks.com/uploads/2022/09/b9710c34b57be573a6d21b1b28cdbfc6-small.jpg
lpp_a_Scalpcloseup.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
lpp_a_Scalpcloseup.jpg
https://cms.sanovaworks.com/uploads/2022/09/d7b7b8d97e49a9f503b4b78b7cb2a405-small.jpg
LPP_FFA_e_Front.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
LPP_FFA_e_Front.jpg
https://cms.sanovaworks.com/uploads/2022/09/f3ae2f0dc5acf0e167bed288a72c0242-small.jpg
LPP_E_Profile.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
LPP_E_Profile.jpg
https://cms.sanovaworks.com/uploads/2022/09/f0b9d59036ca45fe78f759abf9f7ce8c-small.jpg
FFA_B_28_Front.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
FFA_B_28_Front.jpg
https://cms.sanovaworks.com/uploads/2022/09/6a3da12d02e01c71b19137c8996d3ed6-small.jpg
FFA_B_Profile3.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
FFA_B_Profile3.jpg
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LPP_FFA_D_Front23.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

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LPP_FFA_D_Front23.jpg
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LPP_FFA_D_Profile_6.jpg
Lichen Planopilaris + Frontal Fibrosing Alopecia: Earlier in disease course, the perifollicular erythema of lichen planopilaris (LPP) may appear gray or violaceous in darker skin tones. As LPP progresses, it can present as progressive patchy scarring alopecia on the frontal and parietal scalp, distinguishing it from the centrifugal spread of scarring alopecia on the vertex scalp seen in CCCA.

Frontal fibrosing alopecia (FFA) in darker skin tones with more tightly coiled hair can be distinguished from advanced traction alopecia by eyebrow loss and grayish to brown hyperpigmentation of the forehead.

Log into your JDD account to access high resolution images and request permissions.
LPP_FFA_D_Profile_6.jpg
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