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October 1992

Immunofluorescence Findings in Lichen Planopilaris: A Contrasting Experience-Reply

Author Affiliations

Department of Dermatology Melanoma Program Kaplan Comprehensive Cancer Center New York University Medical Center 550 First Ave New York, NY 10016

Arch Dermatol. 1992;128(10):1406. doi:10.1001/archderm.1992.01680200118025

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In Reply.—  The major apparent difference between our study and that of Smith et al is that four of the seven patients they studied were black individuals. None of these individuals had the linear deposits of Ig at the basement membrane zone, which we reported in lichen planopilaris. In contrast, two (66%) of the three white or Hispanic individuals whom they studied did show linear deposits at the basement membrane zone.Our interpretation is that scarring alopecia in black individuals may not be due to, or has a different pathogenesis from, lichen planopilaris in white and Hispanic individuals.

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