Leonard Sperling, MD (@LenSperling) profile picture

Dermatopathologist. Professor of Dermatology & Pathology @USUHSPAO. Author: An Atlas of Hair Pathology with Clinical Correlations.

Bethesda, MD
Joined November 2016
Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)Photo by Leonard Sperling, MD (@LenSperling)
Jerad I love watching your ASDP video interviews and just wanted you to know someone’s watching!
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Unsubscribe from unwanted emails and combine the rest into a single daily digest with @Unrollme unroll.me/?utm_campaign=shar…
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Pigment incontinence in streamers is surrogate for bulbar inflammation. Common in alopecia areata
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Thanks all who attended alopecia mini course at #ASDP2017. This paper shows early features of acne keloidalis nuchae ncbi.nlm.nih.gov/m/pubmed/10…
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Typical Image of frontal fibrosing alopecia. A few lonely hairs can be seen near the border of the receding hairline #dermpath #asdp2017
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Total absence of adnexal structures is clue to radiation induced alopecia #Dermpath #asdp2017 teapaw.org/ginajohnsonmd/status/8…
Pop quiz: Alopecia bx. R/O metastatic breast ca. What's going on here, @LenSperling ?
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Telogen count based on TERMINAL HAIRS. Need to count at multiple levels. Here 4/21 terminal hairs in telogen,so count is 19%
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Follic. decalvans: not specific disease--PATTERN of very inflam cicat alop, usually from CCCA or LPP. Polytrichia (fused infundibula common)
Eccrine duct distention commonly seen in cicatricial alopecia. Not specific, found in CCCA, DLE,LPP
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When all the histo findings cannot be explained by one diagnosis, think multifactorial alopecia. Attached: androgenetic AND traction
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Counting hairs is way to separate normal from androgenetic from tel effluv from areata. Draw a map! See photo of androg alop
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