Professor Lidia Rudnicka: I am fairly convinced I have burnt-out lichen planopilaris (pseudopelade of brocq ), but none of the professionals I've seen who used a trichoscope on my scalp could detect I have this condition. My diagnosis always comes up as androgenic alopecia often with telogen effluvium. I have not gotten an invasive biopsy. From your experience, is diagnosing lichen planopilaris having the shapes of empty slender linear vertical bands a diagnostic pitfall (especially when considering my hair is long and has a lot of volume)? I am wondering if using reflectance confocal microscopy could give a more precise view of my condition, to detect what trichoscopy has not (yet) found? The reason I bring this up is some claim this reflectance confocal microscopy technology could be almost as precise as getting an invasive biopsy done and it can cover the whole surface of the scalp for analysis (which is far better). I will have an experienced dermatologist do the imaging and evaluation. The thing I don't understand too is if I have the condition that I think I have why would the white or red dots not be found using trichoscopy? I think in trichoscopy, there is 50X magnification used? My digital camera has only 8X magnification I use to evaluate my scalp. Is it likely that my camera does not magnify the surface enough to detect the presence or lack of tiny follicular ostia? Your thoughts please. I wish you were my doctor because I'm sure you would get to the bottom of my situation. Too bad I don't live in Poland where I believe you are situated. Thank you for any help or advice you provide! I appreciate it greatly.
I regret very much, but I can not comment on individual situations. RCM is not useful in persons who have hair (unless it it shaved), and even if then still it is currently of limited value for diagnosing pseudopelade
Mam can you give. Info about diffuse alopecia areata(DAA) my doctor has told me that i have this but I cannot find any info on yt and Google i am 20 yrs old male can you please make video on it or jst help me in comment section do i will loose my full hair on scalp after certain period of time due to (DAA)
I have two questions: I had a biopsy that said I have a fungal infection. I got the biopsy because I have a few scarred bald patches on my scalp and at first I thought it was LPP, but my dermatologist said that it doesn't show LPP. Can fungal infection cause scarring? Also I have a few areas with empty follicles, is this possible with LPP to have empty follicles?
I am not able to advise in individual problems over UA-cam. Here are general answers: 1) Yest, there are subtypes of tibea capitis that cause scarring, 2) Yes empty hair follicles do not exclude LPP, 3) The diagnosis is always the final effect of analyzing several aspects of the symptoms. It is not based on the presence or absence of one symptom
@@profLidiaRudnicka I understand, thank you. It's just that the biopsy didn't show LPP (I hope the biopsy is correct) but rather a fungal infection. Also clinically, the dermatologist didn't see anything related to LPP. I will go for a second opinion soon. Also, do you still see patients?
Can you please do a trichoscopic finding of traction alopecia both in early and late stages and when there is miniaturization in traction alopecia what causes that ?
Hi Dr. Rudnicka. My son has been taking LDN for almost 3months and some supplements for alopecia universalis. Do you think we are going to see improvements on LDN and how long we should continue it until we know it’s not working. ( Naturopathic doctor prescribed it). Thank you a lot for all your videos ❤️❤️
I am sorry, there is no evidence for either Low Dose Naltrexone or diet supplements to be effective in alopecia areata. The physician may have based the choice on some personal experience.
Dr.Rudnicka ,could you please give me your opinion on Baricitinib ( could be generic) getting from India? Is it safe ? Should I be concern? Thank you ❤️❤️
Fantastic lecture. Very helpful for the beginner and the experts too. Thank you Professor.
Thank you very much! Very nice to hear from you!
Excellent explanation and illustrations
Glad you liked it!
Thank you prof lidia for this excellent lecture.
Thanks a lot for your feedback! 😊
Thank you for your lectures. Can you please do a video on lichen planopilaris please?
Thanks for your suggestion. I put it on my to-do list!
great recap professor, thank you for sharing
Thank you very much for your feedback!
Thank you for the great lecture. I bought your book from Amazon.
Thank you 😊
Nice organizing summary, Thanks.
Thanks a lot 🙂
Thanks a lot professor for this clear presentation
Thank you :-)
Excellent 🥰🥰
Thank you! 😍
Very nice lecture as usual,THANKS Dr.lidia for your eminent effort
Thank you very much :-)
Grt work madam
Thank you!
Great thanks prof 💐💐💐💐
Thank you! 🍀🍀🍀
Awesome...
Thank you 😊
Professor Lidia Rudnicka: I am fairly convinced I have burnt-out lichen planopilaris (pseudopelade of brocq ), but none of the professionals I've seen who used a trichoscope on my scalp could detect I have this condition. My diagnosis always comes up as androgenic alopecia often with telogen effluvium. I have not gotten an invasive biopsy. From your experience, is diagnosing lichen planopilaris having the shapes of empty slender linear vertical bands a diagnostic pitfall (especially when considering my hair is long and has a lot of volume)? I am wondering if using reflectance confocal microscopy could give a more precise view of my condition, to detect what trichoscopy has not (yet) found? The reason I bring this up is some claim this reflectance confocal microscopy technology could be almost as precise as getting an invasive biopsy done and it can cover the whole surface of the scalp for analysis (which is far better). I will have an experienced dermatologist do the imaging and evaluation. The thing I don't understand too is if I have the condition that I think I have why would the white or red dots not be found using trichoscopy? I think in trichoscopy, there is 50X magnification used? My digital camera has only 8X magnification I use to evaluate my scalp. Is it likely that my camera does not magnify the surface enough to detect the presence or lack of tiny follicular ostia? Your thoughts please. I wish you were my doctor because I'm sure you would get to the bottom of my situation. Too bad I don't live in Poland where I believe you are situated. Thank you for any help or advice you provide! I appreciate it greatly.
I regret very much, but I can not comment on individual situations.
RCM is not useful in persons who have hair (unless it it shaved), and even if then still it is currently of limited value for diagnosing pseudopelade
Mam can you give. Info about diffuse alopecia areata(DAA) my doctor has told me that i have this but I cannot find any info on yt and Google i am 20 yrs old male can you please make video on it or jst help me in comment section
do i will loose my full hair on scalp after certain period of time due to (DAA)
This is a rare condition
Deep thanks .. but i want to know about normal follicular ostia what about it??
Normal contain hair shafts
I have two questions: I had a biopsy that said I have a fungal infection. I got the biopsy because I have a few scarred bald patches on my scalp and at first I thought it was LPP, but my dermatologist said that it doesn't show LPP. Can fungal infection cause scarring? Also I have a few areas with empty follicles, is this possible with LPP to have empty follicles?
I am not able to advise in individual problems over UA-cam. Here are general answers: 1) Yest, there are subtypes of tibea capitis that cause scarring, 2) Yes empty hair follicles do not exclude LPP, 3) The diagnosis is always the final effect of analyzing several aspects of the symptoms. It is not based on the presence or absence of one symptom
@@profLidiaRudnicka I understand, thank you. It's just that the biopsy didn't show LPP (I hope the biopsy is correct) but rather a fungal infection. Also clinically, the dermatologist didn't see anything related to LPP. I will go for a second opinion soon. Also, do you still see patients?
Can you please do a trichoscopic finding of traction alopecia both in early and late stages and when there is miniaturization in traction alopecia what causes that ?
Yes, it is now on my to-do list. Thank you for your suggestion!
@@profLidiaRudnicka thank you im for sure waiting for it ❤️
Hi Dr. Rudnicka. My son has been taking LDN for almost 3months and some supplements for alopecia universalis. Do you think we are going to see improvements on LDN and how long we should continue it until we know it’s not working. ( Naturopathic doctor prescribed it). Thank you a lot for all your videos ❤️❤️
I am sorry, there is no evidence for either Low Dose Naltrexone or diet supplements to be effective in alopecia areata.
The physician may have based the choice on some personal experience.
Dr.Rudnicka ,could you please give me your opinion on Baricitinib ( could be generic) getting from India? Is it safe ? Should I be concern? Thank you ❤️❤️
I can only recommend the official sources of medical products 😊
👍🏻👍🏻👍🏻
😁
What about the brown dots
Yes, of course. This is a short review of the most basic features