TLDR Combining cetirizine and topical steroids can effectively manage severe lichen planus pilaris.
This open-label clinical trial investigated the effectiveness of combining cetirizine (CTZ) and topical steroids in treating lichen planus pilaris (LPP) of the scalp, a condition leading to scarring alopecia. Twenty-one patients were treated with 30 mg of CTZ daily alongside topical steroids. The treatment stabilized the condition in 18 patients, reducing inflammation and symptoms such as erythema, follicular hyperkeratosis, and hair loss. One patient discontinued due to cardiac arrhythmia after 3 months. The study concluded that this combined therapy could be a safe and effective option for managing severe LPP cases.
155 citations,
June 2009 in “International Journal of Dermatology” Lichen planus is a skin condition that can resolve on its own, is linked to hepatitis C, and increases the risk of skin cancer.
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