{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:27:44Z","timestamp":1787772464439,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"\n Background:<\/jats:title>\n Some alopecic diseases can be diagnosed by detailed history taking and physical examination, but in many cases, biopsy must be performed to make a definite diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Aims and Objectives:<\/jats:title>\n This study aimed to evaluate the clinico-pathological concordance of scalp lesions showing alopecia.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n We retrospectively reviewed the electronic medical records and biopsy slides of patients who underwent biopsy for evaluating scalp lesions showing alopecia. Based on the definitions of clinico-pathological concordances, scalp alopecic disease was evaluated.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 121 patients were enrolled in the study. A total of 203 clinical differential diagnoses were made before performing a biopsy. Thirty-one patients showed full concordance, and 58 patients showed partial concordance; thus overall concordance was shown in 89 patients (73.55%). Folliculitis decalvans and alopecia areata showed a higher full concordance rate than average (\n P<\/jats:italic>\n < 0.05), whereas dissecting folliculitis showed a lower overall concordance rate than average, and folliculitis decalvans showed a higher overall concordance rate than average (\n P<\/jats:italic>\n < 0.05). The overall concordance rate of alopecia areata was 100% (\n P<\/jats:italic>\n = 0.061).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In diagnosing folliculitis decalvans and alopecia areata, which showed high full and overall concordance, performing a biopsy to make a definite diagnosis is not always necessary, especially when patients show typical clinical features. Dissecting folliculitis, which showed low overall concordance, was less likely to be suspected as a clinical differential diagnosis, making it difficult to distinguish based on clinical findings alone. Therefore, when it is suspected, a detailed evaluation including a biopsy is recommended.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijd.ijd_112_22","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T12:13:57Z","timestamp":1716984837000},"page":"324-327","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Clinico-Pathological Concordance Rate of Scalp Lesions Showing Alopecia"],"prefix":"10.4103","volume":"67","author":[{"given":"Soo Hyun","family":"Jeong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Yeol","family":"Oh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang Joong","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang Ho","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Joo","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-2-20240829","first-page":"96","article-title":"Clinicopathological consistency in diagnosis of skin disorders: A retrospective study of 371 histopathology reports","volume":"26","author":"Sa","year":"2016","journal-title":"J Pak Assoc Dermatol"},{"key":"R3-2-20240829","doi-asserted-by":"crossref","first-page":"734906","DOI":"10.1155\/2014\/734906","article-title":"Skin biopsy in the context of dermatological diagnosis: A retrospective cohort study","volume":"2014","author":"Korfitis","year":"2014","journal-title":"Dermatol Res Pract"},{"key":"R4-2-20240829","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.jaad.2010.12.031","article-title":"Clinicopathological consistency in skin disorders: A retrospective study of 3949 pathological reports","volume":"66","author":"Aslan","year":"2012","journal-title":"J Am Acad Dermatol"},{"key":"R5-2-20240829","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1097\/DAD.0b013e31819b3e0c","article-title":"The value of skin biopsy in inflammatory dermatoses","volume":"31","author":"Rajaratnam","year":"2009","journal-title":"Am J Dermatopathol"},{"key":"R6-2-20240829","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1016\/j.jaad.2004.11.072","article-title":"A retrospective biopsy study of the clinical diagnostic accuracy of common skin diseases by different specialties compared with dermatology","volume":"52","author":"Sellheyer","year":"2005","journal-title":"J Am Acad Dermatol"},{"key":"R7-2-20240829","doi-asserted-by":"crossref","first-page":"388","DOI":"10.5144\/0256-4947.2019.388","article-title":"Clinicopathological concordance in the diagnosis of skin diseases: A retrospective analysis of 5000 histopathology reports","volume":"39","author":"Al-Saif","year":"2019","journal-title":"Ann Saudi Med"},{"key":"R8-2-20240829","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1046\/j.1365-2133.1998.02216.x","article-title":"Tufted folliculitis of the scalp: A distinctive clinicohistological variant of folliculitis decalvans","volume":"138","author":"Annessi","year":"1998","journal-title":"Br J Dermatol"},{"key":"R10-2-20240829","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1159\/000321475","article-title":"Alopecic and aseptic nodules of the scalp (pseudocyst of the scalp): A prospective clinicopathological study of 15 cases","volume":"222","author":"Abdennader","year":"2011","journal-title":"Dermatology"}],"container-title":["Indian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijd.ijd_112_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:48:15Z","timestamp":1787770095000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijd.ijd_112_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijd.ijd_112_22","relation":{},"ISSN":["0019-5154"],"issn-type":[{"value":"0019-5154","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}