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Diffuse Lichen Planopilaris Masquerading as Diffuse Alopecia Areata.

Li Jie Helena Yoo1, Nekma Meah2,3, Dmitri Wall4,5

  • 1Department of Dermatology, Mater Misericordiae University Hospital, Dublin, Ireland.

Case Reports in Dermatology
|March 26, 2024
PubMed
Summary
This summary is machine-generated.

Lichen planopilaris (LPP), a form of follicular lichen planus, can coexist with female pattern hair loss, mimicking alopecia areata. Early diagnosis and treatment are crucial for managing this complex hair loss condition.

Keywords:
Alopecia areataAndrogenetic alopeciaLichen planopilaris

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Area of Science:

  • Dermatology
  • Trichology

Background:

  • Lichen planopilaris (LPP) is a primary lymphocytic cicatricial alopecia.
  • LPP is a variant of follicular lichen planus.

Observation:

  • A 32-year-old female presented with coexisting diffuse LPP and female pattern hair loss.
  • The presentation mimicked diffuse alopecia areata.

Findings:

  • Dermoscopy-guided biopsies from androgen-sensitive and insensitive areas aided diagnosis.
  • Combined LPP and female pattern hair loss can present as diffuse alopecia.

Implications:

  • Prompt treatment initiation is vital to halt disease progression in LPP.
  • Long-term follow-up is necessary as clinical resolution may not indicate disease absence.