Use of Platelet-Rich Plasma in Lichen Planopilaris and Its Variants: A Retrospective Case Series Demonstrating Treatment Tolerability Without Koebnerization

    Katerina Svigos, Lu Yin, Katharina S. Shaw, Daniel Gutiérrez, Erik Peterson, Kristen Lo Sicco, Jerry Shapiro
    Image of study
    TLDR Platelet-rich plasma is tolerable for lichen planopilaris and doesn't worsen the condition, but its effectiveness is unclear.
    In a retrospective case series from NYU Langone Health, the use of platelet-rich plasma (PRP) was evaluated in 10 patients with lichen planopilaris (LPP) and its variants, including frontal fibrosing alopecia (FFA) and fibrosing alopecia of a pattern distribution (FAPD). The patients, predominantly female with an average age of 57.4 years, underwent an average of four PRP treatments. Results showed that 4 patients experienced improvement, 3 had no change, 1 had disease progression, and 2 had indeterminate outcomes. Seven patients stopped PRP due to minimal improvement and personal preference. The study concluded that PRP is tolerable and does not cause koebnerization in LPP and its variants, and it may be considered for patients with concomitant androgenetic alopecia (AGA). However, the small sample size and concurrent use of multiple therapies limit the conclusions about PRP's specific effects, highlighting the need for more research.
    Discuss this study in the Community →

    Research cited in this study

    4 / 4 results

    Related Community Posts Join

    6 / 87 results
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 7 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.

      community Losing Hair on Dutasteride? You might have LPP

      in Research/Science  98 upvotes 1 month ago
      Men with hair loss might have lichen planopilaris (LPP), which can mimic androgenetic alopecia, leading to misdiagnosis and ineffective treatment with finasteride or dutasteride. Proper diagnosis, including biopsies, is crucial to distinguish between androgenetic alopecia and conditions like LPP.

      community I cry every day, everything is very depressing

      in Finasteride/Dutasteride  52 upvotes 2 weeks ago
      A user is experiencing hair loss despite using dutasteride and oral minoxidil, feeling hopeless and considering a hair system. They are advised to try ketoconazole, seek a second opinion from a dermatologist, and consider treatments like finasteride, RU58841, and hair transplants.

      community Thoughts on platelet-rich plasma therapy

      in Treatment  3 upvotes 5 months ago
      Platelet-rich plasma (PRP) therapy for hair loss is expensive, painful, and often ineffective, with mixed reviews on its benefits. Alternatives like minoxidil, finasteride, and hair transplants are suggested as more reliable options.

      community Platelet rich plasma treatment

      in Treatment  6 upvotes 1 year ago
      A 27-year-old male experienced rapid hair loss after dengue fever, which activated a balding gene. The doctor suggested platelet-rich plasma treatment for hair regrowth.

    Related Research

    4 / 4 results