Lichen planopilaris A closer look at "follicular hyperkeratosis" — Donovan Hair Clinic


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Lichen planopilaris (LPP) is a rare chronic scarring folliculitis of the scalp of unknown cause (Figure 1). It is considered a primary scarring alopecia since the follicle itself is targeted by inflammatory cells and scarring occurs first and primarily around the follicular unit.


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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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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.


Treatment Options for Lichen Planopilaris What to consider? — Donovan Hair Clinic

Lichen planopilaris (LPP) is an uncommon inflammatory scalp disorder that is clinically characterized by perifollicular erythema, follicular hyperkeratosis, and permanent hair loss. LPP is considered a follicular form of lichen planus based upon shared pathologic features and the frequent coexistence of clinical findings of these disorders.


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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.


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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.


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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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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]


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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 relatively uncommon cutaneous disorder characterized by a chronic lymphocytic inflammation that leads to the selective destruction of hair follicles, thus resulting in scarring alopecia. 1 Some authors consider LPP as a follicular form of lichen planus, although only about 30% of patients present cutaneous or mucos.


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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 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.


lichen_planopilaris_clinical_1 Richmond Dermatology

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.


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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.


Lichen planopilaris Classic trichoscopic findings — Donovan Hair Clinic

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Lichen planopilaris is a form of lichen planus (an inflammatory condition affecting the skin and mucous membranes) that affects the scalp and hair. While the exact cause of lichen planopilaris is unknown, it is thought to be an autoimmune disorder of the hair follicles. Lichen planopilaris usually affects young women, but can also affect men.