When Patterns Blur: Recognizing The Overlap Of Alopecia Areata And Lichen Planopilaris

    June 2025 in “ British Journal of Dermatology ”
    Sarah Zbeidy, Archana Rao
    TLDR A rare dual diagnosis of alopecia areata and lichen planopilaris requires thorough evaluation for effective treatment.
    The article discusses a case of a 24-year-old man with a 3-month history of progressive hair loss on the scalp, characterized by both nonscarring and scarring alopecia. Clinical and histological evaluations revealed overlapping conditions of alopecia areata and lichen planopilaris, which are rarely documented together. Treatments including triamcinolone injections, oral hydroxychloroquine, and oral minoxidil provided some symptomatic relief and clinical improvement. This case highlights the importance of recognizing such overlaps and the need for comprehensive evaluations in atypical hair loss presentations, contributing to the limited literature on this dual diagnosis and potentially guiding future clinical management strategies.
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