Lichen Planopilaris and Frontal Fibrosing Alopecia Treatment Algorithms Next Steps in Dermatology


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I've been fighting with the following symptons on my scalp for ~2 years now: red, inflammed skin, no flakes or scales, mild itching but nothing terrible, and noticeable hairloss in the affected areas. The areas affected are my frontal third, two thirds, crown and also my right side above my ear.


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Lichen planopilaris (LPP) is a primary cicatricial lymphocytic alopecia. with an annual incidence of 1.15% to 7.56% at tertiary care institutions. Clinically, LPP presents as alopecia along the vertex of the scalp, with erythema, tenderness, hyperkeratosis, and permanent scarring.


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Are their any special shampoos for LPP? I'm often asked if their are any special shampoos that a patient with LPP should consider. Should they be sulphate free? What about paraben free? First off, there most certainly can be specific shampoo recommendations for some individuals with LPP.


Lichen planopilaris Dr. Abdulaziz Balwi

Lichen planopilaris (LPP) is a cicatricial alopecia that presents with patchy or diffuse hair loss at the vertex or parietal scalp. The literature has limited evidence on treatments for this challenging disease, with most reports involving small groups of patients with varied or suboptimal clinical responses.


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Lichen planopilaris is an itchy skin rash that affects your scalp. It is a rare follicular form of lichen planus, an inflammatory disease that affects the skin and mucous membranes. These ailments occur because of a faulty immune response that causes your body to attack its own tissues. Lichen planopilaris can affect the way you look and feel.


Lichen planopilaris A closer look at "follicular hyperkeratosis" โ€” Donovan Hair Clinic

Lichen planopilaris typically presents as smooth white patches of scalp hair loss. No hair follicle openings can be seen in the areas of hair loss. Scale and redness surround each hair follicle at the edges of these patches, which may be spiny on palpation. Hairs can be easily pulled out.


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Symptoms and Causes What are the symptoms of lichen planopilaris (LPP)? Lichen planopilaris symptoms may come on quickly or gradually. If you have LPP, you might notice: Bald patches on your scalp. Red, thick or scaly patches of skin on your scalp. Scalp pain, itching or burning.


Lichen planopilaris Classic trichoscopic findings โ€” Donovan Hair Clinic

Treating Lichen Planopilaris (LPP) I'm often asked how lichen planopilaris is best treated. There are many treatments for lichen planopilaris.. foams and shampoos. Side effects include thinning of the skin, dilatation of blood vessels and others. Topical calcineurin inhibitors are not generally as effective but have a distinct benefit in.


Lichen Planopilaris and Frontal Fibrosing Alopecia Treatment Algorithms Next Steps in Dermatology

Lichen planopilaris is a type of scarring hair loss which occurs when a relatively common inflammatory disorder of the skin know as lichen planus affects the hair bearing areas of the skin. Lichen planopilaris attacks the hair follicle causing its destruction and replacement with scar tissue.


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Lichen planopilaris (LPP) is a type of lichen planus - an inflammatory disorder - that affects the skin of the scalp and damages the hair follicles, resulting in scarring or cicatricial alopecia. The hair loss is sudden and irregular and can progress diffusely or in patches. Following the loss of hair, atrophic (indented) scars are left on.


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Overview of shampoos for lichen planopilaris. Medicated shampoos can be an important part of managing lichen planopilaris. They are used to help reduce scaling, redness, and inflammation of the scalp caused by the condition. The active ingredients in shampoos for lichen planopilaris work in different ways to control symptoms.


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Lichen planopilaris is an inflammatory, primary cicatricial alopecia with several different patterns of hair loss. Like lichen planus, the etiology of lichen planopilaris is not known but is presumably related to the cause of lichen planus. [1] [2] [3]


Treatment of lichen planopilaris with adalimumab in a patient with hidradenitis suppurativa and

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As with any disorder or disease, different people may experience different symptoms of LPP. These are the most common symptoms: Patchy hair loss. Redness on the scalp. Scalp pain. Itchiness of the scalp. Lichen planopilaris most commonly presents as smooth, white patches, and there's typically no hair in the patch area when on the scalp.


Lichen planopilaris is a rare inflammatory condition that results in patchy progressive

It is essential for diagnosis and monitoring of scalp conditions. Trichoscopy of LPP and FFA are similar: Perifollicular scaling. Scales may migrate up the hair shaft and form tubular structures. You may see fibrotic white dots (scars that replaced the hair follicle) Trichoscopy of classic lichen planopilaris 3.


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Lichen planopilaris, a form of scarring alopecia, tends to affect middle-aged women at an estimated incidence of 1% to 7%. Patients present with hair thinning, which may be accompanied by scalp itching or tenderness. Early actively inflamed lesions suggest perifollicular erythema and hyperkeratosis. If untreated, scarring and permanent.