Skin biopsy from follicular papules revealed hyperkeratosis and papillomatosis of epidermis with mild chronic inflammatory infiltrate in dermis as shown in Figure 3.
6 It is associated with other features like hyperkeratotic follicular papules, keratosis pilaris, hyperhidrosis of palms and soles, and hair abnormalities.
It is clinically characterized by a triad of cicatricial alopecia of scalp, axillary and pubic hypotrichosis of nonscarring type and keratotic follicular papules
over body consistent with follicular LP.
We see this patch of follicular papules quite often at Howard," Dr.
Physicians also should look for keratosis pilaris, a condition earmarked by the presence of hyperkeratotic follicular papules.
Caption: Acne keloidalis nuchae involves fibrotic, follicular papules
on the nape of the neck and occipital scalp.
DISCUSSION: Hyperkeratotic follicular papules
are seen in many other dermatological disorders and mild degree of follicular prominence may be seen during winter season, especially in children.
or pustules, often in irregularly linear groups, develop on the nape of the neck just below the hair line.
2) Follicular papules on the scalp started appearing in the 1st year.
DISCUSSION: APL is an autosomal recessive form of total alopecia, characterized by hair loss soon after birth and the development of follicular papules with absence of terminal hair growth.