Characterization of Lichen Planopilaris in Men: A Retrospective Analysis

    Chloe J. Walker, James T. Pathoulas, Kelly Flanagan, Isabel M. Pupo Wiss, Maryanne M. Senna
    TLDR Lichen planopilaris in men often affects the scalp, eyebrows, arms, legs, and beard, with many having family members with hair loss.
    This retrospective study analyzed 24 men diagnosed with lichen planopilaris (LPP) and/or frontal fibrosing alopecia (FFA) at Massachusetts General Hospital Hair Loss Clinic from 2017 to 2020. The mean age at presentation was 45.5 years, with 70.8% being Caucasian. Common non-scalp involvement areas included eyebrows (20.8%), arms/legs (16.7%), and beard (16.7%). Scalp symptoms were reported by 62.5% of patients, and 50% had first-degree relatives with hair loss. Only 8.3% had a family history of similar hair loss types, and no patients had a personal history of thyroid disease. The study highlighted the unique characteristics of LPP/FFA in men and suggested the need for further research.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 41 results
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 4 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community I think I’ve finally found the reason for my hair loss

      in Chat  98 upvotes 3 weeks ago
      The user experienced hair loss since 2019 and tried finasteride, dutasteride, RU58841, and ketoconazole shampoo without success. A scalp biopsy showed scarring and inflammation from folliculitis, indicating chronic inflammation was affecting treatment effectiveness.

      community 9 months on Fin - no progress , should I get on Dutasteride?

      in Chat  10 upvotes 1 month ago
      The user has been using finasteride, minoxidil, and nizoral for hair loss but hasn't seen regrowth, only maintenance. They are considering switching to dutasteride, which is believed to be more effective, but are concerned about potential side effects.

      community I tried salt water to stop the DHT itch

      in Treatment  60 upvotes 2 years ago
      Treating the itch associated with male pattern baldness, which is believed to be caused by DHT. Potential treatments discussed include salt water, finasteride, ketoconazole, and RU58841.

      community scarring alopecia awareness in this community

      in Chat  33 upvotes 2 years ago
      Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 2 months ago
      The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.

    Related Research

    3 / 3 results