Lichen planopilaris or alopecia areata induced by microneedling? Can microneedling cause autoimmune disease lpp or AA? (Photo)

Question

Hi! I have desperate times to get correct diagnosis. Two thing what happened: off fin 5 weeks nov-dec. And microneedled in january which caused two very red spots and pain and burning. Pain was march-april. Huge hair loss all over and have had bumps, i have also lines in finger nails. Have seen doctors the first one gave keto shampoo… others say just seb derm look fast scalp with dermascope i have persisted to rule out lpp and they took biobsi back of head results not yet seen. 60% all over lose

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the distressing symptoms you're experiencing. Microneedling is a procedure that involves creating tiny punctures in the skin to stimulate collagen production and promote hair growth. While it's generally considered safe when performed correctly, it can sometimes cause side effects like redness, pain, and skin irritation. However, there is limited evidence to suggest that microneedling can directly cause autoimmune diseases like Lichen Planopilaris (LPP) or Alopecia Areata (AA).

Lichen Planopilaris is a rare inflammatory condition that affects the scalp and hair follicles, leading to hair loss. Alopecia Areata is an autoimmune disorder where the body's immune system attacks hair follicles, also resulting in hair loss. Both conditions are complex and can be triggered by various factors, including genetic predisposition, immune system irregularities, and environmental factors.

Your symptoms, including widespread hair loss, bumps, and changes in your fingernails, could be indicative of an underlying condition. The biopsy you mentioned will be crucial in determining whether you have LPP, AA, or another condition. It's essential to follow up with your healthcare provider to discuss the biopsy results and get an accurate diagnosis.

In the meantime, managing stress, maintaining a healthy diet, and avoiding any further scalp trauma could be beneficial. If your symptoms are due to an inflammatory or autoimmune condition, treatments like corticosteroids, immunosuppressants, or other medications might be recommended by your doctor.

Best of luck, and I hope you find relief soon.

Lichen planopilaris or alopecia areata induced by microneedling? Can microneedling cause autoimmune disease lpp or AA? (Photo)

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Lichen planopilaris or alopecia areata induced by microneedling? Can microneedling cause autoimmune disease lpp or AA? (Photo)

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Everything you need to know about Hair Loss Treatment

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