Lichen Planopilaris (LPP) is a type of scarring hair loss condition that affects the scalp. It is characterized by the development of redness on the scalp, often accompanied by itching, burning, or pain. Over time, this can lead to scarring and hair loss, resulting in bald patches on the scalp.

 

The exact cause of lichen planopilaris is not fully understood, but it is believed to involve an abnormal immune response that targets the hair follicles. Genetic factors may also play a role in predisposing individuals to this condition.

 

Diagnosis of lichen planopilaris typically involves a thorough examination of the scalp, sometimes with the aid of a dermatoscope, and a scalp biopsy to confirm the presence of inflammation and scarring in the hair follicles.

 

Treatment for lichen planopilaris aims to reduce inflammation, slow down hair loss, and manage symptoms. This may include topical or oral corticosteroids, topical calcineurin inhibitors, oral anti-inflammatory medications, and sometimes oral immunosuppressants for more severe cases. Lifestyle modifications such as avoiding tight hairstyles and minimizing scalp trauma can also be beneficial.