Question:hard
Cicatrising alopecia with perifollicular blue-gray patches is most commonly associated with:
Cicatrising alopecia with perifollicular blue-gray patches is most commonly associated with:
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Scarring alopecia with violaceous follicular rims is lichen planopilaris, part of the lichen planus spectrum.
Updated On: Jun 24, 2026
- Nail dystrophy
- Whitish lesion in the buccal mucosa
- Arthritis
- Discoid plaques on the face
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The Correct Option is B
Solution and Explanation
Read the scalp clue as a named disease first. A scarring loss of hair combined with violet to blue-gray rims and plugging around the follicles is the classic description of lichen planopilaris, which is simply lichen planus that attacks the hair follicles and leaves permanent bald patches. Once lichen planus is recognised, the task becomes finding which of the four offered features belongs to the lichen planus family. Lichen planus is famous for involving more than the skin and very commonly affects the lining of the mouth, where it leaves a fine white lace-like network over the cheek mucosa known as Wickham striae. That is the whitish lesion of the buccal mucosa in the options. The remaining choices point elsewhere: pitting and dystrophy of nails together with joint disease are typical of psoriasis, and scarring patches with discoid plaques on the face indicate discoid lupus. Therefore the feature most often seen alongside this scarring alopecia is the white oral mucosal change.\[\boxed{\text{Whitish lesion in the buccal mucosa}}\]
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