International Journal of Trichology International Journal of Trichology
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CASE REPORT
Year : 2019  |  Volume : 11  |  Issue : 2  |  Page : 86-87

Trichoscopy of scalp metastases


1 Department of Experimental, Diagnostic and Specialty Medicine, Division of Dermatology, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
2 Division of Dermatology, San Giovanni di Dio Hospital, University of Cagliari, Cagliari, Italy
3 Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

Correspondence Address:
Dr. Giulia Maria Ravaioli
Department of Experimental, Diagnostic and Specialty Medicine, Division of Dermatology, Sant'Orsola-Malpighi Hospital, University of Bologna, via Massarenti 1, Bologna
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijt.ijt_66_18

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A 69-year-old woman with invasive ductal breast cancer (BC) presented multiple asymptomatic alopecic areas of the scalp. Trichoscopy revealed peripheral black dots (BDs) and an atypical vascular pattern. Histopathology confirmed the diagnosis of BC metastases. Cutaneous and scalp metastases are a possible sign of advanced and widespread BC, and the diagnosis may be challenging. The trichoscopy of scalp metastases has never been described. BDs and an atypical vascular pattern in our case were a diagnostic clue.


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