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Year : 1991  |  Volume : 57  |  Issue : 6  |  Page : 318

Graham - little syndrome

Correspondence Address:
M M Udagani

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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Udagani M M, Shankar R, Siddaramappa B, Swamy B. Graham - little syndrome. Indian J Dermatol Venereol Leprol 1991;57:318

How to cite this URL:
Udagani M M, Shankar R, Siddaramappa B, Swamy B. Graham - little syndrome. Indian J Dermatol Venereol Leprol [serial online] 1991 [cited 2020 Sep 19];57:318. Available from:

To the Editor,

This condition is also known as lichen spinulosus et folliculitis decalvans of Graham Little which is characterized by patchy cicatri­cial alopecia of the scalp and by patches of follicular spinous papules involving trunk, the upper parts of arms, legs and scalp. In addi­tion, there may be patches of alopecia (non­cicatricial appearance) in axillae and pubic areas. This syndrome with many variants has many names, but there is considerable agreement that it is a variant of follicular li­chen planus. [1] We are reporting this condition because of historical importance.

A boy aged about 13 years had skin le­sions on trunk and scalp of one year dura­tion. Scalp lesions were progressive and there was loss of hair. Cutaneous examination re­vealed multiple, violaceous, cicatricial, alopecia on temporal and occipital areas [Figure - 1]. Pa­tient had multiple violaceous follicular and papular lesions on trunk. There were few non cicatricial alopecia lesions in right axilla and on right eyebrow. All routine investigations were within normal limits. Biopsy revealed follicular lichen planus.

  References Top

1.Domonkos AN, Arnold HL and Odom RB : Andrew's disease of the skin, 7th ed, WB Saunders Com­pany, Philadelphia, 1982; p 266.  Back to cited text no. 1    


[Figure - 1]


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