Dr Liz Dawes-Higgs

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Understanding Lichen Planopilaris - Simplified!

What is Lichen Planopilaris?

Lichen Planopilaris is a type of lichen planus that affects the scalp, leading to hair loss, scarring, and inflammation around hair follicles.

What Causes it?

The exact cause is unknown, but it's believed to involve an immune system attack on hair follicles

Symptoms to Watch for:

  • Gradual hair loss in patches.

  • Scalp may feel itchy, painful, or have a burning sensation.

  • Redness and scaling around hair follicles.

  • In severe cases, permanent hair loss and scarring

Treatment Options:

Treatment aims to control symptoms, reduce inflammation, and prevent further hair loss. Options include:

  • Topical Corticosteroids: Applied to the scalp to reduce inflammation.

  • Oral Medications: Such as hydroxychloroquine or doxycycline, to suppress the immune system's attack on hair follicles.

  • Intralesional Corticosteroids: Injections into the scalp to directly reduce inflammation.

  • Topical Immunotherapy: To alter the immune response.

  • Hair Care Advice: Gentle hair care to avoid further damage to the scalp.

Living with Lichen Planopilaris

  • Regular follow-ups with your dermatologist are crucial.

  • Use gentle hair care products and avoid harsh treatments or styles that pull on the hair.

  • Protect your scalp from the sun with hats or sunscreen

Remember:

This information provides an overview and does not replace professional medical advice. Discuss your symptoms and treatment options with a dermatologist to find the best care plan for you.