Lichen Planopilaris, Diagnosis and Therapy Challenge - Case Report

    October 2018
    Gordana Savčić, Miloš Kostov, Mirjana Paravina
    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.
    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 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 The Worst Hair Loss Condition You (MAY) have: LPP

      in Research/Science  43 upvotes 3 months ago
      Lichen Planopilaris (LPP) is an autoimmune condition causing permanent hair loss and fibrosis, often misdiagnosed. Treatments include pioglitazone, topical corticosteroids, anti-inflammatory medication, and Jak inhibitors.

      community Making the jump to hair systems

      in Hair Systems  27 upvotes 3 years ago
      19-year-old with Lichen Planopilaris tried various treatments unsuccessfully. Now considering hair systems, seeking experiences and opinions.

      community Anger and frustration as I finally learn my diagnosis.

      in Female  6 upvotes 1 year ago
      A young female diagnosed with Lichen planopilaris (LPP) experienced years of misdiagnosis and ineffective treatments, including a hair transplant and other procedures. She is considering litigation due to the misdiagnosis and has learned that LPP is chronic, hair loss can be stopped with ongoing medication, but lost hair cannot regrow.

      community Clascoterone (Winlevi) Update for Canada

      in Treatment  17 upvotes 2 years ago
      Clascoterone cream was submitted for review to Health Canada in August 2022, with hopes of approval within 3-6 months. It may potentially enhance finasteride's effects for hair loss treatment.

    Similar Research

    5 / 1000+ results
      What's New in Cicatricial Alopecia?

      research What's New in Cicatricial Alopecia?

      16 citations, January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”
      New treatments and early diagnosis methods for permanent hair loss due to scar tissue are important for managing its psychological effects.
      Treatment Options for Alopecia

      research Treatment Options for Alopecia

      17 citations, August 2015 in “Expert Opinion on Pharmacotherapy”
      The document concludes that oral finasteride and topical minoxidil are effective for genetic hair loss, while other treatments for different types of hair loss show promise but need more research.
      Abstracts

      research Abstracts

      October 2020 in “Veterinary Dermatology”
      New treatments and diagnostic methods for various animal skin conditions showed promising results.