Alopecic Patches on the Extremities of a Young Man

February 2026 in “ JEADV Clinical Practice ”

Hamad El Hajj, Dima Jeha, Samer Ghosn, Hala Mégarbané

lichen planopilaris scarring alopecia perifollicular lichenoid inflammation fibrosis clobetasol propionate LPP topical steroid

Studysummary This report describes a rare case of scarring alopecia, diagnosed as lichen planopilaris (LPP), affecting solely the limbs, highlighting the necessity for thorough evaluation of LPP beyond the scalp.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

This case report describes a 28-year-old man with a rare presentation of Lichen Planopilaris (LPP), manifesting as patchy scarring alopecia on the limbs without scalp involvement. The diagnosis was confirmed through clinical examination, dermoscopic findings, and histopathological analysis, which showed perifollicular lichenoid inflammation and fibrosis. The patient was treated with topical clobetasol propionate 0.05% and scheduled for follow-up. This case underscores the importance of considering LPP in cases of body hair loss and highlights the need for thorough evaluation beyond the scalp to guide treatment and research.

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