TLDR Two unusual cases showed that Lichen Planopilaris can look like other skin conditions and need early treatment to protect hair.
In 2020, two unusual cases of Lichen Planopilaris (LPP), a rare scalp disorder, were reported. The first case was diagnosed as LPP-like Folliculotropic Mycosis Fungoides due to the patient's generalized pruritus, skin eruptions, and scalp hair loss, along with biopsy findings of atypical lymphocytes and Pautrier’s microabscesses. The second case was diagnosed as an overlap of LPP and Systemic Lupus Erythematosus, as the patient had a history of the latter and presented with perifollicular erythema and alopecic patches. These cases underscored the varied presentations of LPP, which can mimic other autoimmune and non-autoimmune disorders. The study emphasized the importance of early treatment to preserve unaffected hair follicles and the need for vigilance in diagnosing new LPP patterns due to its association with other diseases.
9 citations,
September 2018 in “JAAD Case Reports” Lichen planopilaris can be triggered by prolonged scalp traction and can be treated with corticosteroids.
95 citations,
November 2016 in “Journal of The American Academy of Dermatology” Treatments for permanent hair loss from scarring aim to stop further loss, not regrow hair, and vary by condition, with partial success common.
29 citations,
February 2016 in “International Journal of Dermatology” People with lichen planus are more likely to have dyslipidemia, especially higher triglyceride levels.
November 2019 in “Harper's Textbook of Pediatric Dermatology” The document is a detailed medical reference on skin and genetic disorders.
May 2021 in “Dermatopathology” The review emphasizes the need to recognize skin conditions that affect hair follicles and sweat glands to avoid misdiagnosis.
1 citations,
April 2010 in “Expert Review of Dermatology” The document concludes that early diagnosis and treatment are crucial for managing rare hair loss disorders and that more research is needed to improve treatment strategies.
15 citations,
March 2016 in “The American Journal of Dermatopathology” Demodex mites rarely cause scalp infections leading to hair loss, but when they do, treatment is effective.
28 citations,
November 2017 in “Skin appendage disorders” The document concludes that accurate diagnosis and treatment of scalp itch require differentiating between various conditions using a proposed five-step evaluation process.
