Lichen Planopilaris: Retrospective Study and Stepwise Therapeutic Approach

    March 2009 in “ Archives of dermatology
    Lori Spencer, Elena B. Hawryluk, Joseph C. English
    TLDR No treatment showed clear superiority for lichen planopilaris.
    The study retrospectively analyzed 45 cases of lichen planopilaris (LPP) from 2004-2007 to assess therapeutic effectiveness. The majority of patients were white (93%) and female (69%), with an average age of 51 years. Initial treatments included doxycycline, with 27% showing improvement, and hydroxychloroquine, with 41% showing improvement. Mycophenolate mofetil was used after hydroxychloroquine failure, with a 30% improvement rate. The study found no significant differences between treatments and highlighted the need for a prospective, multicenter, randomized, placebo-controlled study to establish effective therapy. Limitations included its retrospective nature and lack of specific end points like percentage of scalp hair loss.
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