Case Report
A 26-year-old healthy dark-skinned male presented to our dermatology
department complaining of severe pruritus all over body including the
scalp for more than 3 years and progressive hair loss. Family history
was negative for a similar condition. On examination, the patient’s skin
was xerotic with ichthyosiform scales over the extremities and numerous
follicular papules all over the body (figure 1). There was diffuse
scarring alopecia involving the scalp (figure 2 A). Moreover, there were
patchy alopecia involving the eyebrows, beard and limbs hairs. The
axillary hairs were lost (figure 3) and there was patchy alopecia with
follicular papules involving pubic hairs (figure 4). Trichoscopic
examination showed peripilar casts over the scalp (figure 2 B),
eyebrows, beard, limbs hairs and loss of follicular openings over scalp.
Skin biopsy was taken form follicular papule over right leg showed
orthokeratosis, hypergranulosis, acanthosis and lichenoid infiltrate
with necrotic keratinocytes (figure 5). Based on the clinical and
histopathological features, a diagnosis of (GLPLS) was made.