A Case-Series of 29 Patients with Lichen Planopilaris: The Cleveland Clinic Foundation Experience on Evaluation, Diagnosis, and Treatment

May 2007 in “ Journal of the American Academy of Dermatology ”

Nathaniel C. Cevasco, Wilma F. Bergfeld, Berna K. Remzi, Haydee Ramirez de Knott

lichen planopilaris scarring alopecia topical corticosteroids intralesional corticosteroids tetracycline hair transplants scalp reductions LPP steroid creams steroid injections antibiotics

TLDR The study found that steroids and tetracycline helped treat active Lichen planopilaris, and hair transplants were good for later stages.

The study reviewed the medical records of 29 patients with lichen planopilaris (LPP) at The Cleveland Clinic Foundation from 1992 to 2003. It aimed to evaluate clinical findings and effective therapies for LPP, an autoimmune condition causing permanent scarring alopecia. The results indicated that topical and intralesional corticosteroids were effective in treating the active perimeter of LPP, while tetracycline showed more promise than previously thought. For inactive end-stage LPP, hair transplants and scalp reductions were beneficial. The study was limited by its retrospective nature.

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