Dismiss Notice
Welcome! Please read this announcement regarding the new Forums: Click Here"

2 different scalp biopsy results

Discussion in 'The Undiagnosed' started by mcat111, Oct 19, 2016.

  1. mcat111

    mcat111 Member

    Joined:
    Aug 25, 2016
    Messages:
    24
    Likes Received:
    0
    Dislikes Received:
    0
    I present as Androgenetic Alopecia over the years very mild thinning on top of my scalp. Been going on for few years. And I have Christmas tree middle part and I have minimization and the hairs that she's only have white clubs no exclamation point hairs.

    Okay my dr did a biopsy because I wanted her to refer me to an alopecia specialist who's working with Androgenetic Alopecia. Okay so my regular dermatologist did my biopsy as a formality and it came back as Alopecia Areata.
    She was shocked and did a second biopsy two weeks later in same area.
    It came back as Androgenetic Alopecia.

    Has anyone ever know about false biopsies for Alopecia Areata?

    I would love to get advice what to do next?
     
  2. sheeny

    sheeny Established Member

    Joined:
    May 1, 2015
    Messages:
    360
    Likes Received:
    7
    Dislikes Received:
    0
    From what I've learned it is very possible to have both. I guess I would go to a specialist either way for a second opinion. What type of Alopecia Areata? Diffuse?
     
  3. mcat111

    mcat111 Member

    Joined:
    Aug 25, 2016
    Messages:
    24
    Likes Received:
    0
    Dislikes Received:
    0
    It's Difuse just on crown where it's normal to look like Androgenetic Alopecia. It's been slow steady hair thinning for 5 to 10 years. I have no physical evidence of Areata.
     
  4. eggplant

    eggplant Established Member

    Joined:
    Nov 21, 2014
    Messages:
    145
    Likes Received:
    17
    Dislikes Received:
    0
    I can't speak with any expertise as to how similar Alopecia Areata and Androgenetic Alopecia look under the microscope, but it might be a difference in opinion between pathologists. I had a similar experience years ago with a biopsy for another skin condition (not alopecia related) -- it was sent to two places: one said positive and one said negative for the condition. Definitely see the expert and let them sort it out.

    FWIW: I had a scalp biopsy over a year ago that came back TE and I seriously doubt its accuracy.
     

Share This Page