Lichen Planopilaris (Scarring Alopecia) in a Child
July 2001
in “
International Journal of Dermatology
”
Studysummary This case report documents a successful response to griseofulvin and prednisolone treatment in a 12-year-old boy with lichen planopilaris, characterized by patchy hair loss and distinct skin changes.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
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.