Lichen Planopilaris in Skin of Color: A Case Report

    Geraint James, Sarah B. W. Patton
    TLDR Lichen planopilaris should be considered when diagnosing hair loss in people with darker skin as it may be often missed.
    This document reports on a case of Lichen planopilaris (LPP), a rare inflammatory scalp condition that leads to scarring hair loss, typically seen in women aged 41-50 and more commonly diagnosed in white patients. The case underlines the importance of considering LPP in the differential diagnosis of alopecia in individuals with skin of color, as it may be underdiagnosed in this group. The patient in question was initially diagnosed with traction alopecia but later developed LPP, emphasizing the need for accurate diagnosis as treatments differ between alopecia types. The primary treatment goal for LPP is to slow or halt disease progression and alleviate symptoms.
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      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.
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      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.

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      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.

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      in Chat  10 upvotes 1 month ago
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