TLDR A 21-year-old with lichen planopilaris was successfully treated, stopping disease progression and preventing crusts.
The document described a case of a 21-year-old patient with lichen planopilaris, a rare inflammatory disorder causing cicatricial alopecia. Initially misdiagnosed with seborrheic dermatitis, the patient presented with scalp lesions, exudative erythema, and significant cicatricial alopecia. After clinical examination, dermoscopy, and biopsy, a diagnosis of lichen planopilaris was confirmed. The patient was successfully treated with keratolytic lotions, a combination of corticosteroid preparation and salicylic acid, and tacrolimus 1% cream, which halted disease progression and prevented the return of crusts.
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