What Is Lichen Planopilaris?

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Q:
What is lichen planopilaris?

A:
Lichen planopilaris (LPP) is an inflammatory condition that causes patchy hair loss, mainly on the scalp. It is a form of lichen planus that most often affects women in young adulthood. Distinguished by specific patterns and locations of symptoms, 3 forms of LPP include:

  • classic LPP;
  • frontal fibrosing alopecia;
  • Lassueur Graham-Little Piccardi syndrome.
Signs and symptoms may include:
  • hair loss,
  • scaling and redness around hair follicles,
  • tiny, red pimples (papules) around clusters of hairs,
  • pain, burning, tenderness, or itching on the scalp.
In rare cases, blistering occurs. In some cases, hair loss may be permanent if the disease causes permanent scarring(cicatricial alopecia).
There is yet no cure for lichen planopilaris. Treatment depends on how much of the scalp is affected and how quickly the condition progresses. Treatment options may include steroids, isotretinoin or hydroxychloroquine. Hair transplant may be effective in some cases.
Keywords: lichen planopilaris

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