Could this be lichen planopilaris? (Photo)

Question

Jason Emer, MD · Answer

This needs an in-person evaluation. I recommend getting a formal evaluation with a hair loss expert to go over your condition and advise you on best treatment options. There are great non-invasive options like prp/progesterone and/or hair transplantation. See an expert. Best, Dr. Emer

Harpreet Lotay, MD · Answer

Your hair loss could be lichen planopilaris  but it is not possible to tell from your pictures.  This diagnosis is made using clinical information and a detailed exam including a scalp exam with a dermatoscope, nail exam and then a biopsy if needed to corroborate the clinical picture.  Lichen planopilaris results in scarring, permanent hair loss and is accompanied by scalp symptoms including burning, itching and pain.  Androgenetic hair loss may have a similar sympotms as may other hair loss conditions including cutaneous lupus.   Seeing someone experienced in managing hair loss is important.

Jeff Donovan, MD, PhD · Answer

This could be many things. Could it be LPP? Sure, but it could also be androgenetic alopecia, telogen effluvium (the two most likely statistically speaking) or diffuse alopecia areata. Even a mild folliculitis might be present. A full review of the history, examination of the scalp with dermoscopy and review of blood tests is needed.  If there is any doubt a biopsy would be needed. Please see a dermatologist who specializes in hair loss.
Lichen planopilaris (LPP) is a scarring alopecia that typically starts with scalp symptoms such as itching and burning. Sometimes the scalp is quite tender in areas. Shedding is often present as well. LPP affects similar areas to androgenetic alopecia (female pattern thinning) so it is a close mimicker. In the early stages, some scalp redness may be present and inflammation may be seen around the hairs clinically. A biopsy can be helpful provided it is read by an experienced dermatopathologist. Even by biopsy, androgenetic alopecia and LPP can be confused as both can have inflammation (perifollicular inflammation in the isthmus) and both can have scarring (perifollicular fibrosis).

William Rassman, MD (retired) · Answer

You would have to get a thorough examination of your scalp including a hand microscope viewing of the individual hairs. You did not offer any significant history as to what the problem you are having it.  LPP is a biopsy diagnosis which may not be indicated until after blood tests and examination of your scalp.

Could this be lichen planopilaris? (Photo)

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Answer: LPP?

Answer: LPP?

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Could this be lichen planopilaris? (Photo)

Answers (4)

Answer: LPP?

Answer: LPP?

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Everything you need to know about Hair Loss Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.