Scarring Alopecia With Coexisting Lichen Planus in a Child: A Rare Phenomenon

July 2021 in “ Curēus ”

Muhammad Ammar Bin Hamid, Shahan Tariq

lichen planopilaris scarring alopecia cicatricial alopecia lymphocytic cause hair loss LPP

TLDR A child had a rare case of scarring hair loss with skin disease, which is hard to treat and stressful.

The document discusses a rare case of Lichen planopilaris (LPP), a type of chronic cicatricial (scarring) alopecia with a lymphocytic cause, in a nine-year-old child. LPP is not well understood and often fails to respond to therapeutic treatments, which can lead to significant psychosocial stress for patients due to the inability to prevent or reverse hair loss. The occurrence of LPP in children is particularly uncommon, making this case noteworthy.

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Research cited in this study

7 / 7 results

research Isolated Body Hair Loss: An Unusual Presentation of Lichen Planopilaris

6 citations, January 2016 in “Skin appendage disorders”

A man with rare Lichen Planopilaris lost body hair, not scalp hair, and treatment stopped itching but didn't regrow hair.

research Pediatric Lichen Planopilaris: Clinicopathologic Study of Four New Cases and a Review of the Literature

16 citations, June 2015 in “Pediatric dermatology”

Lichen Planopilaris in teens is rare, often misdiagnosed, and responds well to steroids.

Comparison of Systemic Mycophenolate Mofetil with Topical Clobetasol in Lichen Planopilaris: A Parallel-Group, Assessor- and Analyst-Blinded, Randomized Controlled Trial

research Comparison of Systemic Mycophenolate Mofetil with Topical Clobetasol in Lichen Planopilaris: A Parallel-Group, Assessor- and Analyst-Blinded, Randomized Controlled Trial

26 citations, March 2015 in “American journal of clinical dermatology”

Topical clobetasol is recommended over mycophenolate mofetil for treating Lichen Planopilaris due to better safety and patient satisfaction.

research Central Centrifugal Cicatricial Alopecia Presenting with Irregular Patchy Alopecia on the Lateral and Posterior Scalp

19 citations, January 2015 in “Skin appendage disorders”

The report found a new type of hair loss in African-American women that affects more areas of the scalp than previously thought.

research Pathologic Diagnosis of Central Centrifugal Cicatricial Alopecia on Horizontal Sections

29 citations, September 2014 in “American Journal of Dermatopathology”

Horizontal sections of scalp biopsies are good for diagnosing Central Centrifugal Cicatricial Alopecia and help customize treatment.

research Dermatoscopic Features of Central Centrifugal Cicatricial Alopecia

64 citations, June 2014 in “Journal of The American Academy of Dermatology”

Researchers found a white halo around hair in most patients with a specific type of hair loss, which helps in early diagnosis and treatment.

research A Detective Look at Hair Biopsies from African-American Patients

40 citations, May 2012 in “British Journal of Dermatology”

Recognizing specific features of African-American hair can help diagnose hair loss conditions.

Related Community Posts Join

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community Diffuse hair loss and scalp biopsies

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.

community scarring alopecia awareness in this community

in Chat 33 upvotes 2 years ago

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.

community The Worst Hair Loss Condition You (MAY) have: LPP

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.

community Fibrosing alopecia in a pattern distribution

in Research/Science 14 upvotes 9 months ago

A user has been experiencing hair loss for 4 years, with treatments like minoxidil, finasteride, and various supplements proving ineffective. They were diagnosed with fibrosing alopecia in a pattern distribution, a condition that may require a combination of anti-inflammatory and hair growth treatments.

community DUPA VS. FAPD, which is more treatable? Which is worse?

in Research/Science 8 upvotes 3 weeks ago

DUPA is considered more treatable than FAPD, as FAPD involves scarring that prevents hair regrowth. The user has started treatment with oral dutasteride and minoxidil, hoping for better results than previous treatments.

community I think I’ve finally found the reason for my hair loss

in Chat 98 upvotes 2 weeks ago

The user experienced hair loss since 2019 and tried finasteride, dutasteride, RU58841, and ketoconazole shampoo without success. A scalp biopsy showed scarring and inflammation from folliculitis, indicating chronic inflammation was affecting treatment effectiveness.

Related Research

8 / 8 results

Bitemporal Scalp Hair Loss: Differential Diagnosis of Nonscarring and Scarring Conditions

research Evaluation of Hair Loss

21 citations, May 1996 in “Current problems in dermatology”

Detailed patient history and physical exams are crucial for diagnosing hair loss.

research Androgenetic Alopecia, Trichotrophic Substances, and Histologic Studies of the Human Scalp

5 citations, October 1988 in “Clinics in Dermatology”

Minoxidil promotes hair growth but exact mechanism is unknown.