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.