Lichen Planopilaris (Scarring Alopecia) in a Child

July 2001 in “ International Journal of Dermatology ”

Virendra Sehgal, Pramila Bajaj, G Srivastva

lichen planopilaris cicatricial alopecia scarring alopecia hyperkeratosis hypergranulosis basal cell layer destruction epidermis atrophy dermis fibrosis dilated hair follicles keratotic plugs ultramicronized griseofulvin prednisolone topical betamethasone dipropionate griseofulvin betamethasone

TLDR A 12-year-old boy's hair loss and skin issues improved significantly with medication.

The document described a case of lichen planopilaris, a type of scarring alopecia, in a 12-year-old boy who experienced progressive patchy hair loss on the scalp, accompanied by dusky blue eruptions on the upper lip and eyebrows. Examination revealed plaques of alopecia with smooth, shiny, atrophic skin and erythema, along with erythematous, scaly, follicular papules. Histological analysis showed hyperkeratosis, hypergranulosis, and a band-like lymphohistiocytic infiltrate. Treatment with ultramicronized griseofulvin and prednisolone for 6 months, supplemented with topical betamethasone dipropionate, resulted in an excellent response, with a noticeable decline in the inflammatory infiltrate.

View this study on onlinelibrary.wiley.com →

Discuss this study in the Community →

Research cited in this study

1 / 1 results

research Keratosis Follicularis Spinulosa Decalvans

54 citations , January 1983 in “Archives of Dermatology”

KFSD is a rare condition causing scarring hair loss, with no effective treatment known at the time of the report.

Related Community Posts Join

6 / 88 results

community scarring alopecia awareness in this community

in Chat 33 upvotes 3 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 If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

nkrata in Research 830 upvotes 1 year 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 Losing Hair on Dutasteride? You might have LPP

in Research/Science 94 upvotes 1 year ago

Men with hair loss might have lichen planopilaris (LPP), which can mimic androgenetic alopecia, leading to misdiagnosis and ineffective treatment with finasteride or dutasteride. Proper diagnosis, including biopsies, is crucial to distinguish between androgenetic alopecia and conditions like LPP.

community Dutasteride Isn't Working? Get a Scalp Biopsy NOW

in Finasteride/Dutasteride 19 upvotes 1 year ago

Dutasteride may not be effective for everyone due to underlying issues, suggesting scalp biopsies for further diagnosis. Users discuss using higher doses of dutasteride, topical treatments, minoxidil, and pyrilutamide for hair loss management.

community You will lose hair if your prostaglandins aren't in balance

in Research/Science 57 upvotes 11 months ago

Prostaglandin balance affects hair loss, particularly in conditions like Lichen Planopilaris, where an imbalance can lead to hair follicle damage. Treatments mentioned include prostaglandin analogs and Pioglitazone HCL, with a focus on maintaining prostaglandin equilibrium for potential hair regrowth.