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Fractional Lasers for Acne Scarring in Patients With Skin of Color

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Fractional Lasers for Acne Scarring in Patients With Skin of Color
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Skin Care in Patients With Pigmentary Disorders

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Skin Care in Patients With Pigmentary Disorders

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Addressing Disorders of Hyperpigmentation With Combination Therapy: A Marriage of Mother Nature, Medicine, and Modalities [editorial]

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Addressing Disorders of Hyperpigmentation With Combination Therapy: A Marriage of Mother Nature, Medicine, and Modalities [editorial]
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Once-Daily Application of Calcipotriene 0.005%–Betamethasone Dipropionate 0.064% Ointment for Repigmentation of Facial Vitiligo

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Asymptomatic Lower Lip Hyperpigmentation From Laugier-Hunziker Syndrome

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Asymptomatic Lower Lip Hyperpigmentation From Laugier-Hunziker Syndrome
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Skin of Color: Nanotechnology Produces Appealing Sunscreens for Dark Skinned Patients

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Skin of Color: Nanotechnology Produces Appealing Sunscreens for Dark Skinned Patients

While the growing field of nanotechnology holds promise, particularly for darker skinned patients, it comes with its fair share of controversy.

Nanotechnology is the study of manipulating matter on a molecular scale by structuring ingredients into nanometer sized particles versus micrometer particles that are considerably larger.

The technology is currently being used in sunscreens, cosmetics, moisturizers, and anti-aging products because of properties that cannot­­ be obtained using larger sized particles. In skin of color, nanotechnology has provided considerable benefit in the elegance of products, particularly sunscreens.

Chemical blockers in sunscreens, such as avobenzone, are greasy and difficult to blend. In addition, titanium dioxide leaves a white residue when applied to darker skin. When the ingredients are converted to nanoparticles, however, they are less greasy and leave the skin residue free while retaining their broad spectrum properties.

Because sunscreen use is much less prevalent in skin of color, particularly in black and Hispanic populations, skin cancer rates and photo-aging are on the rise in these populations. Although more educational and preventative health measures need to be undertaken, improvements in sunscreens may help drive use.

The safety of nanotechnology, however, has received considerable debate. Because the skin is the first line of defense, many dermatologists have concerns about the potential risk of nanotechnology.  

Studies have shown that nanoparticles can enter skin with an altered integrity. Thus, products containing nanoparticles should never be used on damaged skin, burns, infants, and those with an inadequate skin barrier.

Considerable research on nanoparticles has shown that healthy, undamaged skin is an effective barrier for preventing the entry of nanoparticles into the deep layers of the dermis. And, the Food and Drug Administration’s Nanotechnology Task Force is currently investigating the safety of nanoparticles for skin care products because materials in the nano-scale dimension may have different chemical, physical, and biologic properties. The FDA has proposed guidelines for the use and development of nanotechnology to ensure patient safety and product efficacy.

Sunscreens are used to protect us from a known carcinogen: UV radiation. Nanoparticles have not been proven to be carcinogenic. In fact, sunscreens with nanoparticles have been shown to last longer, apply better to the skin, and provide better UVA and UVB protection than other products on the market.

We should encourage our skin of color patients that these products are safe and are more transparent than traditional products. This technology is providing more appealing products for us to offer our patients.

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While the growing field of nanotechnology holds promise, particularly for darker skinned patients, it comes with its fair share of controversy.

Nanotechnology is the study of manipulating matter on a molecular scale by structuring ingredients into nanometer sized particles versus micrometer particles that are considerably larger.

The technology is currently being used in sunscreens, cosmetics, moisturizers, and anti-aging products because of properties that cannot­­ be obtained using larger sized particles. In skin of color, nanotechnology has provided considerable benefit in the elegance of products, particularly sunscreens.

Chemical blockers in sunscreens, such as avobenzone, are greasy and difficult to blend. In addition, titanium dioxide leaves a white residue when applied to darker skin. When the ingredients are converted to nanoparticles, however, they are less greasy and leave the skin residue free while retaining their broad spectrum properties.

Because sunscreen use is much less prevalent in skin of color, particularly in black and Hispanic populations, skin cancer rates and photo-aging are on the rise in these populations. Although more educational and preventative health measures need to be undertaken, improvements in sunscreens may help drive use.

The safety of nanotechnology, however, has received considerable debate. Because the skin is the first line of defense, many dermatologists have concerns about the potential risk of nanotechnology.  

Studies have shown that nanoparticles can enter skin with an altered integrity. Thus, products containing nanoparticles should never be used on damaged skin, burns, infants, and those with an inadequate skin barrier.

Considerable research on nanoparticles has shown that healthy, undamaged skin is an effective barrier for preventing the entry of nanoparticles into the deep layers of the dermis. And, the Food and Drug Administration’s Nanotechnology Task Force is currently investigating the safety of nanoparticles for skin care products because materials in the nano-scale dimension may have different chemical, physical, and biologic properties. The FDA has proposed guidelines for the use and development of nanotechnology to ensure patient safety and product efficacy.

Sunscreens are used to protect us from a known carcinogen: UV radiation. Nanoparticles have not been proven to be carcinogenic. In fact, sunscreens with nanoparticles have been shown to last longer, apply better to the skin, and provide better UVA and UVB protection than other products on the market.

We should encourage our skin of color patients that these products are safe and are more transparent than traditional products. This technology is providing more appealing products for us to offer our patients.

While the growing field of nanotechnology holds promise, particularly for darker skinned patients, it comes with its fair share of controversy.

Nanotechnology is the study of manipulating matter on a molecular scale by structuring ingredients into nanometer sized particles versus micrometer particles that are considerably larger.

The technology is currently being used in sunscreens, cosmetics, moisturizers, and anti-aging products because of properties that cannot­­ be obtained using larger sized particles. In skin of color, nanotechnology has provided considerable benefit in the elegance of products, particularly sunscreens.

Chemical blockers in sunscreens, such as avobenzone, are greasy and difficult to blend. In addition, titanium dioxide leaves a white residue when applied to darker skin. When the ingredients are converted to nanoparticles, however, they are less greasy and leave the skin residue free while retaining their broad spectrum properties.

Because sunscreen use is much less prevalent in skin of color, particularly in black and Hispanic populations, skin cancer rates and photo-aging are on the rise in these populations. Although more educational and preventative health measures need to be undertaken, improvements in sunscreens may help drive use.

The safety of nanotechnology, however, has received considerable debate. Because the skin is the first line of defense, many dermatologists have concerns about the potential risk of nanotechnology.  

Studies have shown that nanoparticles can enter skin with an altered integrity. Thus, products containing nanoparticles should never be used on damaged skin, burns, infants, and those with an inadequate skin barrier.

Considerable research on nanoparticles has shown that healthy, undamaged skin is an effective barrier for preventing the entry of nanoparticles into the deep layers of the dermis. And, the Food and Drug Administration’s Nanotechnology Task Force is currently investigating the safety of nanoparticles for skin care products because materials in the nano-scale dimension may have different chemical, physical, and biologic properties. The FDA has proposed guidelines for the use and development of nanotechnology to ensure patient safety and product efficacy.

Sunscreens are used to protect us from a known carcinogen: UV radiation. Nanoparticles have not been proven to be carcinogenic. In fact, sunscreens with nanoparticles have been shown to last longer, apply better to the skin, and provide better UVA and UVB protection than other products on the market.

We should encourage our skin of color patients that these products are safe and are more transparent than traditional products. This technology is providing more appealing products for us to offer our patients.

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Blog: Treating Acne, PIH in Dark Skinned Patients

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The growing diversity of the U.S. population has highlighted the importance of being able to properly treat skin of color patients.

The topic was the focus of a presentation by Dr. Wendy E. Roberts during the American Academy of Dermatology's Summer Academy Meeting in New York. She is in private practice in Rancho Mirage, Calif.

When it comes to treating skin of color, dermatologists should keep three main points in mind, said Dr. Roberts: recognition of the skin disease, treatment, and procedural safely. (Dr. Roberts explains each point in the video below.)

For instance, acne, which is the most common skin condition, can affect dark skin differently than in patients with light skin. Postinflammatory hyperpigmentation (PIH) is one of the unique characteristics of acne expression in ethnic skin.

Patients may not visit the dermatologist because of the primary lesions such as papules and postules, said Dr. Roberts. Rather, they may come in because of the brown spot on their skin.

Based on the patients' skin type and severity of acne, dermatologists have access to several treatment options for PIH, which include the gold standard hydroquinone and retinoids that help lighten the affected areas. Other options include chemical peels, microdermabrasion, and fractional lasers.

A 2010 review of acne in skin of color patients showed that clinical features such as PIH and potential irritation, "should influence the choice of anti-acne agents used when designing a treatment regimen" (J. Clin. Aesthet. Dematol. 2010;3:24-38).

The study, however, pointed out the paucity of clinical studies that evaluate the safety and efficacy of acne medications in skin of color. "Future areas of exploration should examine the use of combination or new therapies in skin of color, the roles of hormones and genetics, and the contribution of possible differences in the skin biology characteristics of darker ethnic groups to the development of acne," the study authors wrote.

Meanwhile, a 2008 survey of program directors and chief residents at 109 dermatology programs concluded that there is a need for "increased exposure, educational sessions, and overall training in diseases pertaining to skin of color in U.S. dermatology residencies." (J. Am. Acad. Dermatol. 2008;59:615-8). In the meantime, Dr. Roberts stressed that peer-to-peer education and expanded residency training in skin of color are critical.

-By Naseem Miller

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The growing diversity of the U.S. population has highlighted the importance of being able to properly treat skin of color patients.

The topic was the focus of a presentation by Dr. Wendy E. Roberts during the American Academy of Dermatology's Summer Academy Meeting in New York. She is in private practice in Rancho Mirage, Calif.

When it comes to treating skin of color, dermatologists should keep three main points in mind, said Dr. Roberts: recognition of the skin disease, treatment, and procedural safely. (Dr. Roberts explains each point in the video below.)

For instance, acne, which is the most common skin condition, can affect dark skin differently than in patients with light skin. Postinflammatory hyperpigmentation (PIH) is one of the unique characteristics of acne expression in ethnic skin.

Patients may not visit the dermatologist because of the primary lesions such as papules and postules, said Dr. Roberts. Rather, they may come in because of the brown spot on their skin.

Based on the patients' skin type and severity of acne, dermatologists have access to several treatment options for PIH, which include the gold standard hydroquinone and retinoids that help lighten the affected areas. Other options include chemical peels, microdermabrasion, and fractional lasers.

A 2010 review of acne in skin of color patients showed that clinical features such as PIH and potential irritation, "should influence the choice of anti-acne agents used when designing a treatment regimen" (J. Clin. Aesthet. Dematol. 2010;3:24-38).

The study, however, pointed out the paucity of clinical studies that evaluate the safety and efficacy of acne medications in skin of color. "Future areas of exploration should examine the use of combination or new therapies in skin of color, the roles of hormones and genetics, and the contribution of possible differences in the skin biology characteristics of darker ethnic groups to the development of acne," the study authors wrote.

Meanwhile, a 2008 survey of program directors and chief residents at 109 dermatology programs concluded that there is a need for "increased exposure, educational sessions, and overall training in diseases pertaining to skin of color in U.S. dermatology residencies." (J. Am. Acad. Dermatol. 2008;59:615-8). In the meantime, Dr. Roberts stressed that peer-to-peer education and expanded residency training in skin of color are critical.

-By Naseem Miller

The growing diversity of the U.S. population has highlighted the importance of being able to properly treat skin of color patients.

The topic was the focus of a presentation by Dr. Wendy E. Roberts during the American Academy of Dermatology's Summer Academy Meeting in New York. She is in private practice in Rancho Mirage, Calif.

When it comes to treating skin of color, dermatologists should keep three main points in mind, said Dr. Roberts: recognition of the skin disease, treatment, and procedural safely. (Dr. Roberts explains each point in the video below.)

For instance, acne, which is the most common skin condition, can affect dark skin differently than in patients with light skin. Postinflammatory hyperpigmentation (PIH) is one of the unique characteristics of acne expression in ethnic skin.

Patients may not visit the dermatologist because of the primary lesions such as papules and postules, said Dr. Roberts. Rather, they may come in because of the brown spot on their skin.

Based on the patients' skin type and severity of acne, dermatologists have access to several treatment options for PIH, which include the gold standard hydroquinone and retinoids that help lighten the affected areas. Other options include chemical peels, microdermabrasion, and fractional lasers.

A 2010 review of acne in skin of color patients showed that clinical features such as PIH and potential irritation, "should influence the choice of anti-acne agents used when designing a treatment regimen" (J. Clin. Aesthet. Dematol. 2010;3:24-38).

The study, however, pointed out the paucity of clinical studies that evaluate the safety and efficacy of acne medications in skin of color. "Future areas of exploration should examine the use of combination or new therapies in skin of color, the roles of hormones and genetics, and the contribution of possible differences in the skin biology characteristics of darker ethnic groups to the development of acne," the study authors wrote.

Meanwhile, a 2008 survey of program directors and chief residents at 109 dermatology programs concluded that there is a need for "increased exposure, educational sessions, and overall training in diseases pertaining to skin of color in U.S. dermatology residencies." (J. Am. Acad. Dermatol. 2008;59:615-8). In the meantime, Dr. Roberts stressed that peer-to-peer education and expanded residency training in skin of color are critical.

-By Naseem Miller

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Photoaging in Skin of Color

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skin of color, photoaging, cutaneous aging, intrinsic factors, extrinsic factors, epidermal melanin, Fitzpatrick skin type, UV radiation, white skin, UVB, individual typology angle, ITA, DNA, African American skin, Hispanic skin, hyperpigmentation, volume loss, wrinkles, mottled pigmentation, dermatosis papulosa nigra, DPN, Asian skin, actinic lentigines, pigmented seborrheic keratoses, mottled hyperpigmenataion, stratum corneum, melanocytic function, smoking, pigmented lesions, basal cell, spinous layer, melasma, melanocytesAlexis AF, Rossi A, skin of color, photoaging, cutaneous aging, intrinsic factors, extrinsic factors, epidermal melanin, Fitzpatrick skin type, UV radiation, white skin, UVB, individual typology angle, ITA, DNA, African American skin, Hispanic skin, hyperpigmentation, volume loss, wrinkles, mottled pigmentation, dermatosis papulosa nigra, DPN, Asian skin, actinic lentigines, pigmented seborrheic keratoses, mottled hyperpigmenataion, stratum corneum, melanocytic function, smoking, pigmented lesions, basal cell, spinous layer, melasma, melanocytes
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Successful Treatment of Chickenpox Scars With Microdermabrasion and a Nonablative, Submillisecond, 1064-nm Nd:YAG Laser

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Successful Treatment of Chickenpox Scars With Microdermabrasion and a Nonablative, Submillisecond, 1064-nm Nd:YAG Laser
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chickenpox, scarring, microdermabrasion, MDA, Nd:YAG, lasers, nonablative, postinflammatory hyperpigmentation, PIH, Fitzpatrick skin type, skin texture, patient discomfort, pigmentary changes, varicella-zoster virus, pustules, body aches, fever, fatigue, papular rash, vesicles, red papules, immunocompromised, varicella vaccine, bacterial superinfection, staphylococci, streptococci, aluminum oxide crystals, atrophic scarring, dermal peels, ablative fractional laser, laser resurfacing, keratinocytes, microcirculation, lymphatic drainageBadawi A, Tome MA, Turley A, Kemeny L, chickenpox, scarring, microdermabrasion, MDA, Nd:YAG, lasers, nonablative, postinflammatory hyperpigmentation, PIH, Fitzpatrick skin type, skin texture, patient discomfort, pigmentary changes, varicella-zoster virus, pustules, body aches, fever, fatigue, papular rash, vesicles, red papules, immunocompromised, varicella vaccine, bacterial superinfection, staphylococci, streptococci, aluminum oxide crystals, atrophic scarring, dermal peels, ablative fractional laser, laser resurfacing, keratinocytes, microcirculation, lymphatic drainage
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chickenpox, scarring, microdermabrasion, MDA, Nd:YAG, lasers, nonablative, postinflammatory hyperpigmentation, PIH, Fitzpatrick skin type, skin texture, patient discomfort, pigmentary changes, varicella-zoster virus, pustules, body aches, fever, fatigue, papular rash, vesicles, red papules, immunocompromised, varicella vaccine, bacterial superinfection, staphylococci, streptococci, aluminum oxide crystals, atrophic scarring, dermal peels, ablative fractional laser, laser resurfacing, keratinocytes, microcirculation, lymphatic drainageBadawi A, Tome MA, Turley A, Kemeny L, chickenpox, scarring, microdermabrasion, MDA, Nd:YAG, lasers, nonablative, postinflammatory hyperpigmentation, PIH, Fitzpatrick skin type, skin texture, patient discomfort, pigmentary changes, varicella-zoster virus, pustules, body aches, fever, fatigue, papular rash, vesicles, red papules, immunocompromised, varicella vaccine, bacterial superinfection, staphylococci, streptococci, aluminum oxide crystals, atrophic scarring, dermal peels, ablative fractional laser, laser resurfacing, keratinocytes, microcirculation, lymphatic drainage
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Hair Care Practices in Black Women With and Without Scarring Alopecia: A Retrospective Cohort Study

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Hair Care Practices in Black Women With and Without Scarring Alopecia: A Retrospective Cohort Study

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McMichael AJ, Freeney I, Robertson W, Henderson R, Utterback R, Gilbert K

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black women, alopecia, hair care, scarring alopecia, hair loss, chemical relaxers, hairpieces, braids, hair dye, hair spray, hair gel, hot comb, chemical curling agents, lupus, thyroid disease, rheumatoid arthritis, ulcerative colitis, Crohn disease, diabetes mellitus, keloid scars, hair weaves, frontal area of the scalp, vertex area of the scalp, pain, itching, scaling, papules, pustules, folliculosbaceous units, perifollicular hyperplasia, fibroplasia, fibrosis, onion skin, mononuclear inflammation, perifollicular lymphocytic infiltrate, central centrifugal cicatricial alopecia, CCCAAmy J. McMichael, Ingrid Freeney, Williette Robertson, Robert Henderson, Reem Utterback, Kemery Gilbert, black women, alopecia, hair care, scarring alopecia, hair loss, chemical relaxers, hairpieces, braids, hair dye, hair spray, hair gel, hot comb, chemical curling agents, lupus, thyroid disease, rheumatoid arthritis, ulcerative colitis, Crohn disease, diabetes mellitus, keloid scars, hair weaves, frontal area of the scalp, vertex area of the scalp, pain, itching, scaling, papules, pustules, folliculosbaceous units, perifollicular hyperplasia, fibroplasia, fibrosis, onion skin, mononuclear inflammation, perifollicular lymphocytic infiltrate, central centrifugal cicatricial alopecia, CCCA
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McMichael AJ, Freeney I, Robertson W, Henderson R, Utterback R, Gilbert K

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McMichael AJ, Freeney I, Robertson W, Henderson R, Utterback R, Gilbert K

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Cutis - 88(1)
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Cutis - 88(1)
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331-337
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331-337
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Display Headline
Hair Care Practices in Black Women With and Without Scarring Alopecia: A Retrospective Cohort Study
Display Headline
Hair Care Practices in Black Women With and Without Scarring Alopecia: A Retrospective Cohort Study
Legacy Keywords
black women, alopecia, hair care, scarring alopecia, hair loss, chemical relaxers, hairpieces, braids, hair dye, hair spray, hair gel, hot comb, chemical curling agents, lupus, thyroid disease, rheumatoid arthritis, ulcerative colitis, Crohn disease, diabetes mellitus, keloid scars, hair weaves, frontal area of the scalp, vertex area of the scalp, pain, itching, scaling, papules, pustules, folliculosbaceous units, perifollicular hyperplasia, fibroplasia, fibrosis, onion skin, mononuclear inflammation, perifollicular lymphocytic infiltrate, central centrifugal cicatricial alopecia, CCCAAmy J. McMichael, Ingrid Freeney, Williette Robertson, Robert Henderson, Reem Utterback, Kemery Gilbert, black women, alopecia, hair care, scarring alopecia, hair loss, chemical relaxers, hairpieces, braids, hair dye, hair spray, hair gel, hot comb, chemical curling agents, lupus, thyroid disease, rheumatoid arthritis, ulcerative colitis, Crohn disease, diabetes mellitus, keloid scars, hair weaves, frontal area of the scalp, vertex area of the scalp, pain, itching, scaling, papules, pustules, folliculosbaceous units, perifollicular hyperplasia, fibroplasia, fibrosis, onion skin, mononuclear inflammation, perifollicular lymphocytic infiltrate, central centrifugal cicatricial alopecia, CCCA
Legacy Keywords
black women, alopecia, hair care, scarring alopecia, hair loss, chemical relaxers, hairpieces, braids, hair dye, hair spray, hair gel, hot comb, chemical curling agents, lupus, thyroid disease, rheumatoid arthritis, ulcerative colitis, Crohn disease, diabetes mellitus, keloid scars, hair weaves, frontal area of the scalp, vertex area of the scalp, pain, itching, scaling, papules, pustules, folliculosbaceous units, perifollicular hyperplasia, fibroplasia, fibrosis, onion skin, mononuclear inflammation, perifollicular lymphocytic infiltrate, central centrifugal cicatricial alopecia, CCCAAmy J. McMichael, Ingrid Freeney, Williette Robertson, Robert Henderson, Reem Utterback, Kemery Gilbert, black women, alopecia, hair care, scarring alopecia, hair loss, chemical relaxers, hairpieces, braids, hair dye, hair spray, hair gel, hot comb, chemical curling agents, lupus, thyroid disease, rheumatoid arthritis, ulcerative colitis, Crohn disease, diabetes mellitus, keloid scars, hair weaves, frontal area of the scalp, vertex area of the scalp, pain, itching, scaling, papules, pustules, folliculosbaceous units, perifollicular hyperplasia, fibroplasia, fibrosis, onion skin, mononuclear inflammation, perifollicular lymphocytic infiltrate, central centrifugal cicatricial alopecia, CCCA
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