CME Examination: Dermatology Case-Based Posttest on Lichen Planopilaris and Chronic Cutaneous Lupus Erythematosus

    November 2016 in “ Journal of The American Academy of Dermatology ”
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    TLDR Control symptoms and use safe treatments for skin conditions like lichen planopilaris and chronic cutaneous lupus erythematosus.
    The document provided instructions for claiming CME credit through a case-based posttest related to dermatology, specifically focusing on conditions like lichen planopilaris and chronic cutaneous lupus erythematosus. It included a scenario of a 36-year-old woman with lichen planopilaris, emphasizing the importance of controlling hair loss and inflammation rather than promising complete remission. It also discussed the use of hairpieces and camouflage techniques to help patients cope with visible hair loss. Additionally, it addressed a 52-year-old man with chronic cutaneous lupus erythematosus, advising caution with nonphysician-recommended treatments due to lack of regulation and suggesting hydroxychloroquine as a potential treatment to control lesions and reduce the risk of progression to systemic lupus erythematosus.
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      in Female  6 upvotes 1 year ago
      A young female diagnosed with Lichen planopilaris (LPP) experienced years of misdiagnosis and ineffective treatments, including a hair transplant and other procedures. She is considering litigation due to the misdiagnosis and has learned that LPP is chronic, hair loss can be stopped with ongoing medication, but lost hair cannot regrow.

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      in Research/Science  43 upvotes 2 months ago
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      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 3 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community C’est terrible - at my wits end

      in Female  443 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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      in Research/Science  81 upvotes 1 year ago
      The conversation is about the role of testosterone in hair loss and the effectiveness of different treatments. The conclusion is that DHT is the main culprit for hair loss, and finasteride has been proven to work long-term in maintaining and regrowing hair. Testosterone may have a minor effect, but it is not the primary cause of hair loss.

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