Lichen Planopilaris with Koebner Phenomenon

September 2018 in “ JAAD Case Reports ”

Leena Alahmari, Rawan K. AlMesned, Ahmed Alhumidi, Abdullah Alkhalifah

lichen planopilaris Koebner phenomenon traction temporal scalp scarring alopecia perifollicular erythema scaling topical corticosteroids intralesional corticosteroids oral corticosteroids central centrifugal cicatricial alopecia LPP CCCA

TLDR Lichen planopilaris can be triggered by prolonged scalp traction and can be treated with corticosteroids.

This case report described a 25-year-old woman with lichen planopilaris (LPP) triggered by prolonged traction on her temporal scalp, a unique and previously unreported cause. The patient presented with bilateral focal temporal hair loss, pain, redness, itching, and burning sensations. Examination revealed scarring alopecia with perifollicular erythema and scaling. Treatment included topical, intralesional, and oral corticosteroids, leading to complete remission after cessation of the traction practice. This case highlighted the importance of recognizing unusual triggers for LPP and differentiating it from similar conditions like central centrifugal cicatricial alopecia (CCCA). Further studies were recommended to understand LPP's precipitating factors and pathologic mechanisms.

View this study on jaadcasereports.org →

Discuss this study in the Community →

Research cited in this study

8 / 8 results

Cicatricial Alopecia Research Foundation Meeting, May 2016: Progress Towards the Diagnosis, Treatment, and Cure of Primary Cicatricial Alopecias

research Cicatricial Alopecia Research Foundation Meeting, May 2016: Progress Towards the Diagnosis, Treatment, and Cure of Primary Cicatricial Alopecias

22 citations, January 2018 in “Experimental Dermatology”

The meeting focused on understanding, diagnosing, and finding treatments for irreversible hair loss diseases.

research Central Centrifugal Cicatricial Alopecia: New Insights and a Call for Action

27 citations, September 2017 in “Journal of Investigative Dermatology Symposium Proceedings”

Hair loss in black women needs more research, early intervention, and community education.

research Central Centrifugal Cicatricial Alopecia: Challenges and Solutions

37 citations, August 2016 in “Clinical, Cosmetic and Investigational Dermatology”

The document concludes that better treatments for CCCA are needed and more research is required to understand its causes related to hairstyling and genetics.

research Primary Cicatricial Alopecia: Diagnosis and Treatment

48 citations, May 2013 in “Canadian Medical Association Journal”

Primary cicatricial alopecia, a rare disorder causing permanent hair loss, is hard to diagnose and treat, with treatments like anti-inflammatory drugs and steroids offering varied results and no guaranteed cure. Psychological support for patients is important, and future research should aim to identify causes of the condition.

research Central Hair Loss in African American Women: Incidence and Potential Risk Factors

76 citations, November 2010 in “Journal of The American Academy of Dermatology”

Some African American women's central scalp hair loss is linked to genetics and past fungal scalp infections, with more research needed on other causes.

research A Histologic Review of 27 Patients with Lichen Planopilaris

76 citations, June 2008 in “Journal of the American Academy of Dermatology”

The conclusion is that certain scalp tissue changes are characteristic of lichen planopilaris, with mucinous perifollicular fibroplasia being a new feature for diagnosis.

research A Case-Series of 29 Patients with Lichen Planopilaris: The Cleveland Clinic Foundation Experience on Evaluation, Diagnosis, and Treatment

113 citations, May 2007 in “Journal of the American Academy of Dermatology”

The study found that steroids and tetracycline helped treat active Lichen planopilaris, and hair transplants were good for later stages.

research Primary Cicatricial Alopecias: Clinicopathology of 112 Cases

254 citations, December 2003 in “Journal of the American Academy of Dermatology”

Accurate diagnosis and aggressive treatment are crucial to prevent permanent hair loss in cicatricial alopecia.

Related Research

2 / 2 results

research Bold to Do — Bald to Be? Outcomes Decades After Harvesting the Scalp in Burned Children

5 citations, October 2018 in “Burns”

Most patients who had scalp skin removed for burns as children had normal hair growth and were satisfied years later.