Trichoscopy as an Additional Diagnostic Tool for Monitoring of Lichen Planopilaris

May 2016 in “ Aktuelle Dermatologie ”

J. Andziukeviciute, Jurgita Makštienė, Skaidra Valiukevičienė

lichen planopilaris scarring alopecia trichoscopy topical corticosteroids hydroxychloroquine LPP scarring hair loss topical steroids Plaquenil

TLDR Trichoscopy helps monitor inflammation in Lichen planopilaris.

Lichen planopilaris (LPP) is a rare inflammatory disorder affecting hair follicles, leading to scarring alopecia. A 34-year-old woman presented with hair loss and scalp itching, and was diagnosed with classic LPP through clinical symptoms, trichoscopy, and histological findings. Topical corticosteroids were ineffective, but remission was achieved after 2 months of treatment with hydroxychloroquine 200 mg twice daily. Trichoscopy proved useful as an additional diagnostic tool for monitoring inflammation in LPP.

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

in Research 828 upvotes 5 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 9 months on Fin - no progress , should I get on Dutasteride?

in Chat 10 upvotes 2 months ago

The user has been using finasteride, minoxidil, and nizoral for hair loss but hasn't seen regrowth, only maintenance. They are considering switching to dutasteride, which is believed to be more effective, but are concerned about potential side effects.

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

in Research/Science 8 upvotes 1 month 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 How essential is scalp biopsy when dealing with hair loss?

in Treatment 6 upvotes 2 months ago

The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.

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

in Chat 98 upvotes 1 month 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.

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.