Diffuse Lichen Planopilaris Masquerading as Diffuse Alopecia Areata.

ABSTRACT:

Introduction

Lichen planopilaris (LPP) is a primary lymphocytic cicatricial alopecia that represents a form of follicular lichen planus.

Case presentation

We describe a case of coexisting diffuse LPP and female pattern hair loss masquerading as diffuse alopecia areata in a 32-year-old female.

Discussion

In complex cases such as this, dermoscopy-guided vertical and horizontal biopsies from androgen sensitive and insensitive areas are helpful in increasing diagnostic yield. Prompt initiation of treatment is key to halting disease progression. Long-term follow-up is important as resolution of clinical signs does not always correlate with the absence of disease progression.

SUBMITTER: Yoo LJH 

PROVIDER: S-EPMC10963056 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature