Histopathologic Spectrum of Alopecias Seen in a Jamaican Setting

    Jonathan D. Ho, Chico J. Collie, Sherri-Ann Spencer
    TLDR Young women in Jamaica often experience chronic scarring hair loss.
    The study conducted in Jamaica focused on the histopathologic spectrum of alopecias, particularly in Afro-Caribbean patients, over approximately 5 years, analyzing 338 biopsies. The findings revealed a predominance of cicatricial alopecias (CAs) over non-cicatricial alopecias (NCAs), with central centrifugal cicatricial alopecia being the most common diagnosis at 21.9%. The study noted a female-to-male ratio of 4.8:1, with a mean patient age of 42.7 years and an average alopecia duration of 5.1 years. Histopathologic features indicated that CAs had significantly decreased hair counts and perifollicular fibrosis in 75% of cases. The study highlighted that young women with chronic hair loss and CA are frequently biopsied, and there is a strong correlation between clinical impressions of scarring/nonscarring and histopathological findings.
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