Lichen planopilaris

Lichen planus – follicular lichen planus

Lichen planopilaris

Created: 8th December 2012   |   Last Updated: 27th March 2020

Introduction

Initially described by Pringle in 1895, lichen planopilaris (LPP) is a cutaneous disorder selectively involving hair follicles with a lymphocytic inflammatory process that eventually destroys the follicles leading to expanding areas of scarring alopecia (cicatricial alopecia). Together with frontal fibrosing alopecia (FFA) and the Lassueur Graham-Little Piccardi syndrome, lichen planopilaris is a form of follicular lichen planus. This chapter is set out as follows:
  • Aetiology
  • History
  • Clinical findings
  • Images
  • Management

Aetiology

  • The cause is unknown
  • Only about 25% of patients will have signs of lichen planus elsewhere 
  • Follicular lichen planus (LP) is more common in women (60 to 90% of cases) than in men
  • The age of onset of follicular LP is frequently between 40 and 60 years

Lichen planopilaris 

  • Distribution
    • Commonly involves the vertex, but any region of the scalp can be affected
  • Morphology
    • Lesions can be single, multiple or diffuse, circular to oval shaped or have finger- projections 
    • The early classically complete lesions are characterised by a follicular violaceous erythema and keratotic plugs, which are commonly located at the periphery of expanding areas of alopecia. Some hair affected by the inflammation process can persist in the centre of the bald area  
    • Perifollicular inflammation or scaling can be very discreet in some cases, which makes the diagnosis more difficult
    • As with other cases of scarring alopecia tufted hairs may be seen
    • A positive pull test of anagen hairs is commonly present at the margin of alopecia, indicating the disease activity
    • After inflammation and hair shedding, atrophic scarring of areas without follicular units replaces all the other lesions
    • Typical papules of lichen planus are not observed on the scalp
    • Differentiation from discoid lupus erythematosus (DLE) of the scalp can sometimes be difficult. In DLE, inflammation is not restricted to surrounding hairs, and the affected skin can become telangiectatic. Although follicular LP and DLE can be seen in the same patient, this is very rare
  • Dermoscopic findings
    • In the centre of the bald areas there is a lack follicular orifices
    • On the margin, the pink / red translucent inflammation is clearly perifollicular, with keratin scale surrounding and extending along the proximal part of the hair shafts   

Frontal fibrosing alopecia (FFA)

  • Initially described in post-menopausal women, this particular entity can infrequently appear in premenopausal women and more rarely in men
  • FFA presents as a progressive symmetric band- alopecia, affecting the frontal hair line, the preauricular scalp and, less commonly and distinctively, the retroauricular areas
  • ''Orphaned'' hairs ie isolated hairs, may remain in areas of hair loss
  • The eyebrows are often affected and this may occur before the frontal scalp. Clinical inflammation is not observed in the eyebrows. The other vellus or terminal hair of the face can be involved, including the eyelashes. Hair loss can also affect the body
  • Dermoscopic features – clearly perifollicular, with keratin scale surrounding and extending along the proximal part of the hair shafts. Erythema often mild or absent
  • Additional clinical features – atrophy of affected sites with prominent forehead veins, facial papules
  • Progression, for the majority, is relatively slow

Lassueur Graham-Little Piccardi syndrome

  • This syndrome consists of scarring patchy alopecia of the scalp, non-scarring axillary and pubic hair loss, and a lichenoid follicular eruption
  • Most of the patients described are women ages 30 to 60 years  
  • The three problems may appear simultaneously but scalp alopecia often precedes the follicular eruption of horny papules (even years before)

Please click on images to enlarge or download. The PCDS would to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. All named individuals and organisations maintain copyright for the relevant images. This website is non-profit and holds the images for educational purposes only. Any image downloaded must only be used for teaching purposes and not for commercial use. Notice and credit must be given to the PCDS or other named contributor. Please follow this link if you have any high-quality images that you can contribute to the website.

Figure: 1Lichen planopilaris – other areas of scalp involved Erythema and scaling around hair follicles (blue arrows) and hyperkeratotic plugs (black arrow), untreated this can scar
Figure: 2Lichen planopilaris and scarringSome hair remains in the scarred areas
Figure: 3Frontal fibrosing alopeciaScale and erythema around the hair folliclesCopied with kind permission from Dr John Barker
Figure: 4Frontal fibrosing alopeciaImage copied with kind permission from South Tees Hospitals NHS Foundation Trust
Figure: 5Dermoscopic appearance of the aboveScarred areas lacking in follicular orifices, along with scale surrounding and extending along the proximal part of the remaining hair shafts (white arrows) Image copied with kind permission from South Tees Hospitals NHS Foundation Trust
Figure: 6Frontal fibrosing alopecia: close-upInflammation and scarring
Figure: 7Frontal fibrosing alopecia Frontal alopecia with erythema and scaling. Eyebrows also affected but no evidence of inflammation 
Figure: 8Frontal fibrosing alopeciaThis patient was first diagnosed several years previously 
Figure: 9Frontal fibrosing alopecia – same patient as aboveScaling around the hair follicles (arrows)
Figure: 10Frontal fibrosing alopecia – as aboveLoss of eyebrows

Lichen planopilaris

  • General
    • Provide a patient information leaflet
    • Although LPP often burns itself out within 2-3 years, treatment should be initiated early because, as with other cause of scarring alopecia, hair loss is irreversible 
  • Steroids
    • Dermovate ® scalp application applied daily
    • Intralesional injections of triamcinolone acetonide can be used as an additional treatment in areas of local and severe inflammation
  • Second-line treatments   
    • If patients are showing signs of progressive hair loss they should be referred early to a dermatologist and started on a tetracycline antibiotic, which have anti-inflammatory effects. Often higher doses are needed, eg Lymecycline ® 408 mg BD or doxycycline 100 mg BD
    • The main treatments considered in Secondary Care include hydroxychloroquine and sometimes Pioglitazone. Other possible treatments include methotrexate, ciclosporin and other immunosuppressive therapy, systemic steroids, isotretinoin, and low dose naltrexone
  • Monitoring
    • In addition to serial photography, the amount of scale can be a good guide to treatment success. A reduction/absence of scale suggests treatment is helping. Erythema is not a good guide of activity, not least because steroids and UV exposure can give an erythematous appearance  

6 Lichen Planopilaris Natural Treatments

Lichen planopilaris

Lichen planopilaris is one of a larger group of conditions that is known as scarring alopecia. It is an uncommon inflammatory skin complaint that results in inflammation and the development of irreversible and permanent loss of hair on the scalp.

The hair loss experienced is patchy and also results in scarring as well as scaled skin around any remaining hairs. other forms of scarring alopecia, it is characterized by the hair follicles being permanently destroyed and replaced by scar tissue.

It is possible for adults of both genders to contract lichen planopilaris but it tends to be more common in younger adult females. While it is not always the case, this condition can develop along with a skin condition called lichen planus which affects skin, nails and mucous membranes.

Causes and symptoms

The precise cause of the condition is not known Apart from hair loss, other potential symptoms of lichen planopilaris include

• Tenderness
• Itching
• Burning
• Discomfort and pain

Treatment

Because the hair loss experienced is permanent and there is no known remedy for reversing the hair loss and scarring, treatment tends to be focused on slowing the progression of the condition and relieving any of the symptoms such as itching or inflammation.

Once diagnosed, the common treatment options are anti-inflammatory medications topical or oral corticosteroids and oral hydroxychloroquine. Even with medical treatment, responses are varied and studies into a variety of medications have proven to be contradictory.

Conventional Treatments

Topical Corticosteroids: Powerful steroid preparations in the form of gels, lotions or mousses may help treat localized areas.

It is important to apply the right amount of the treatment only to the affected areas leaving unaffected areas untouched.

If they are used incorrectly, these steroid preparations can cause the skin to thin and can cause damage to sensitive areas. They can be especially effective in treating rashes and relieving itching.

Steroid injections: Intralesional steroids as they are otherwise known can be injected into the affected areas. They may be more effective in treating smaller areas but are uncomfortable and often times painful. They also carry the risk of unwanted side effects atrophy or dimpling in the skin.

Steroid tablets: May be prescribed for a short time and can effectively reduce inflammation and itching. Unfortunately, a long course of this medication can can bring with it some very nasty side effects including elevated blood pressure, osteoporosis, weight gain and diabetes.

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Hydroxychloroquine is a useful drug for treating the condition though it requires a minimum of 4 months treatment to note its effectiveness. When it works, it can be continued until remission. When used long term, retinal damage is a possibility but the risk is reduced by keeping dosage low.

Immunosuppressive drugs: Drugs to suppress the immune system are sometimes used but with degrees of success being varied. They are considered safer than steroid treatment but can still produce unwanted side effects.

If you know about the conventional treatments and are looking to try a natural option first-there are certainly no magical home remedies but there are natural treatments that you can try.  Keep in mind that nothing will work overnight–and even known drug regimens can take months.

Many home treatment options contain anti-fungal and antibacterial options that can ease inflammation and itching. As always there are no guarantees, but the treatments we will look at are safe and natural and may well bring some relief anecdotal evidence and the way in which they help with other inflammatory skin complaints.

1. Castor oil

Castor oil has a number of medicinal properties and is often used for its laxative abilities but it is also traditionally used to treat the hair and for scalp complaints. The oil is derived from the beans or the seeds of the castor oil plant and contains omega 6 fatty acids and vitamin E as well as many nourishing minerals important for healthy hair and scalp maintenance.

It has antifungal and antibacterial actions which make it an excellent and natural home remedy. It has many applications for the hair including stimulating growth, treating dryness of the scalp and dandruff and moisturizing. There are many anecdotal testimonials around the internet from people with lichen planopilaris that have had some degree of success with castor oil

To apply castor oil to your hair, follow these simple steps:

  1. Mix it with coconut oil or olive oil in an equal ratio.
  2. Gently massage the mixture into your hair and scalp with your fingers, this will improve the circulation of blood and stimulate hair growth.
  3. Wrap a towel over your hair and leave it on for at least 2 hours or even overnight to ensure the oil has time to work before washing it out with your normal routine.
  4. Repeat every other day for as long as you want.

2. Herbal teas

Many people suffering from lichen planopilaris recommend drinking herbal teas to improve their symptoms. Those teas with the best recommendations are nettle tea and horsetail tea both of which have numerous health benefits and can be easily found at most supermarkets. Try drinking one or both of these teas at least 3 times daily.

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3. Virgin coconut oil

Virgin coconut oil has any number of therapeutic benefits and is used for a variety of skin complaints as well as to nourish the hair and scalp. Rich in vitamins and important minerals coconut oil has anti-inflammatory and natural antiviral and antifungal properties and possesses the ability to easily penetrate the scalp and work from within.

It is used these days to treat a variety of hair complaints from simply improving the quality of appearance to promoting hair growth. It is also used to treat fungal scalp conditions dandruff and is one of the very best natural remedies known.

Of course, not all coconut oil is of the same quality and you should make sure that you buy the best quality virgin coconut oil that you can afford.

To apply coconut oil to your hair and scalp;

  1. Depending on the length of your hair, take between 3 and 5 tablespoons of oil and place it in a bowl.
  2. Because coconut oil solidifies at room temperature, you may need to soften it first which you can either do by melting it in your hands or by heating it on the stove.
  3. Evenly spread the coconut oil around your scalp and hair and massage it in with your fingers.
  4. Either put on a shower cap or wrap it well in a towel and leave the oil work into your hair and scalp for at least 2 hours or even overnight before you rinse it out.
  5. Repeat several times a week at least.

4. Blackstrap molasses

This is a remedy that keeps popping up when it comes to hair loss complaints including lichen planopilaris. It tastes great and is packed with nutrients that can help the hair and scalp. To help your condition, you should take a tablespoon twice each day.

5. Essential oils

These incredible oils have countless uses on a huge variety of conditions and certain essential oils have proven very effective for use on the hair. Most essential oil contain antifungal and antibacterial properties as well as anti-inflammatory abilities that can improve the appearance of your hair and ease any inflammation or infection of the scalp.

While it is not guaranteed, some essential oils can even reduce the appearance of scarring and some can even promote hair growth. You can see a detailed article about essential oils for a variety of hair conditions here.

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Among the best essential oils to use for lichen planopilaris are:

  • Basil essential oil which stimulates circulation and promotes hair growth.
  • Peppermint essential oil has similar effects to basil and can also prevent fungal growth.
  • Rosemary essential oil which is a proven remedy for alopecia.
  • Arnica essential oil which has also proven to be effective for some people with alopecia.
  • Eucalyptus essential oil which is great for a variety of hair and skin complaints. To use essential oils for your hair, it is important to dilute them first.
  • The easiest and most convenient way is to simply add a few drops of your favorite essential oil to your shampoo.

An alternative is to dilute your essential oil with a suitable vegetable oil known as a carrier oil. There are many possible carrier oils and some of the best for your hair and scalp would be coconut oil, jojoba oil. Massage the blended mixture into your hair.

Do not apply your essential oil without diluting it first because they are extremely strong and may cause more irritation and inflammation of the scalp.

6. Turmeric

The important compound contained in turmeric when it comes to treating lichen planopilaris is curcumin.

Curcumin possesses anti-inflammatory properties and numerous biological activities that may help prevent scarring on the scalp.

It has already demonstrated the ability to reduce and eliminate inflammation caused by damaged lipids and is also a natural antioxidant which helps repair cellular damage.

It also improves blood circulation around the scalp. According to a study conducted in South Korea, curcumin is able to inhibit the TGF Beta 1 activity which is believed to be responsible for alopecia and other forms of hair loss.

To apply turmeric powder to your hair:

  1. Mix some turmeric powder into milk and honey.
  2. Massage the mixture into your hair gently with the fingers.
  3. Cover the hair and leave it for a few hours before washing away.

Источник: https://healthyfocus.org/6-lichen-planopilaris-natural-treatments/

Lichen Planopilaris – Symptoms, Causes, Treatment & Prevention

Lichen planopilaris

Lichen Planopilaris is a chronic inflammatory condition that affects the scalp. It results in patches of hair loss on the scalp that may cause itching and burning. Lichen Planopilaris is a form of lichen planus that mostly affects women in young adulthood.

Lichen Planopilaris may cause permanent hair loss and scarring due to primary Cicatricial Alopecia. The distinct feature of this disease is hair loss in patches that occur in many different patterns.

This article explains the causes, symptoms and treatment options for Lichen Planopilaris.

What is Lichen Planopilaris?

Lichen Planopilaris is an inflammatory scalp disease that results in permanent hair loss. This disorder is said to be a variant of Lichen Planus, a common skin disorder causing distinct reddish purple rashes on the body.

When Lichen Planus affects the scalp and causes bald patches, it is called Lichen Planopilaris. It damages the hair follicles by causing inflammation and leading to hair loss and scarring. The hair follicles are often observed to be reddish and scaly due to inflammation.

Individuals sometimes experience pain and itching or are altogether asymptomatic. Lichen Planopilaris is generally said to have three subtypes: Classic Lichen Planopilaris, Frontal Fibrosing Alopecia, and Graham Little Syndrome.

Classic Lichen planopilaris presents a patch on the scalp whereas Frontal Fibrosing Alopecia presents as a receding frontal hairline and scarring at the frontal scalp, at times eyebrows are affected too.

Graham Little Syndrome represents Cicatricial Alopecia on the scalp causing permanent hair loss, and non-scarring alopecia on other regions of the body. The cause of the disease is not clearly understood but the primary mechanism remains the same, where the hair follicle gets inflamed causing hair loss due to scarring of follicle.

Who gets Lichen Planopilaris and why?

Lichen Planopilaris affects individuals across all ages; young men and women are ly to be affected as compared to children and elderly. However, women in the age group of 40 to 60 years of age are predominantly affected. This disorder often occurs in association with Lichen Planus, which affects the skin, nails and different mucosal membranes of the body.

About 50% of individuals with Lichen Planopilaris show development of Lichen Planus. The exact cause of the disease is not known but there have been hypotheses that indicate autoimmunity as the probable cause. It is the most common reason of scarring alopecia.

This disorder is not hereditary but there are certain genes that predispose an individual to the development of this disease.

Clinical features of Lichen Planopilaris

The key clinical features of Lichen Planopilaris are the presence of lesions with perifollicular erythema and perifollicular scale on the scalp. The lesions are reddish and show a scaly or crusty appearance mostly towards the periphery. The hair follicle is affected and shows inflammation.

There are bald patches observed on the scalp that range from few to many anywhere on the scalp. These bald patches are often smooth and whitish in color and the pattern of hair loss is greatly varied. The small patches often fuse to form larger region of hair loss. Other hair bearing regions are seldom affected.

Distinct absence of follicular ostia is noted. The variant of Lichen Planopilaris, Frontal Fibrosing Alopecia is often observed in postmenopausal women and shows recession and scarring of frontal hairline.

In Graham Little Syndrome patchy loss of hair with scarring is observed on the scalp along with loss of hair on other body parts.

What are the symptoms of Lichen Planopilaris?

The symptoms of Lichen Planopilaris differ from individual to individual. Mainly the vertex and crown region is affected. A very evident symptom is hair loss and occurrence of bald patches. The lesions also show scaling towards the periphery.

The primary symptoms exhibited by patients include pain and itching accompanied by redness and certain discomfort. Patients suffering from this disease often show presence of Lichen Planus, which affects the skin, and mucous membranes of the body.

Causes of Lichen Planopilaris

The precise cause of Lichen Planopilaris is not known and thus this makes the treatment a challenge. There are certain suspicions that point to autoimmunity as the cause of this disease.

The immune system of the body reacts in an abnormal manner and mistakenly attacks the healthy tissues of the body. In this case the cells of the immune system called lymphocytes attack the hair follicles and destroy the stem cells.

This causes the hair to fall off and a scar is formed. Various environment factors can trigger this abnormal immune response that results in hair follicle inflammation and hair loss.

This type of hair loss is usually irreversible and permanent and there is not much scope for re-growing the hair. Presence of certain genes put a person at a risk of developing this disease.

How is Lichen Planopilaris diagnosed?

The diagnosis of Lichen Planopilaris requires a careful dermatologic examination of the scalp. All the clinical, histological and pathological observations together give a conclusive diagnosis. A biopsy is very crucial in this diagnosis.

The biopsy specimen must be taken from an active lesion that displays perifollicular erythema and perifollicular scaling. Anagen Pull test is also done to confirm the diagnosis. In addition to this examination of nails, skin and various mucus membranes are done to look for underlying Lichen Planus.

Trichoscopy, a recent non-invasive diagnostic method is also employed to investigate the scalp for the various clinical presentations of the disease.

Treatment of Lichen Planopilaris

There is no specific cure for Lichen Planopilaris, but there are treatments that help to relieve the symptoms to an extent and slow down the progression of the disease. An early diagnosis provides better scope of treatment. Any hair loss due to scarring alopecia cannot be revived and is permanent.

The basic aim is to slow the pace of the disease. The usual course of treatment includes oral, topical and intralesional medications. Corticosteroids are often administered orally, topically through an intralesional injection. Hydrochloroquine is an antimalarial medication which helps reduce inflammation.

Immunosuppressants Methotrexate are also prescribed. Pioglitazone is an antidiabetic, which is also used in the treatment of this disease. The efficacy of these treatments is observed differently in different persons. When the disease has reached its burnt-out stage, cosmetic surgery and hair transplantation can be considered.

Scope of recovery is very little and relapse is a common occurrence.

Complications of Lichen Planopilaris

Complications of Lichen Planopilaris include development of Cicatricial alopecia that causes scarring and irreversible hair loss. Many times Lichen Planopilaris is accompanied by Lichen Planus.

Lichen Planus affects the skin, nails and various mucous membranes. It causes characteristic reddish purple flat rashes on the body.

Skin pigmentation and disfiguration is also associated with Lichen Planopilaris.

What does Lichen Planopilaris look ?

Lichen Planopilaris shows presence of smooth bald patches that have a shine. These bald patches go on to fuse and form bigger patches of bald regions. The hair follicles are inflamed and show a red and scaly appearance. These patches appear anywhere on the scalp.

Perifollicular erythema and perifollicular scales are commonly observed in Lichen Planopilaris. Perifollicular scale is a distinct feature of this disease. Development of Cicatricial alopecia resulting in hair loss and scarring is also observed.

Other related variants include Follicular Lichen Planus, Frontal Fibrosing Alopecia, and Graham Little syndrome. Each has distinct patterns of hair loss and specific symptoms.

Frontal Fibrosing alopecia shows scarring and hair loss in the frontal hair line where as Graham Little syndrome shows bald patches all over the scalp with itchy rash. These different patterns help diagnose the disorders.

Risk factors of Lichen Planopilaris

The risk factors of Lichen Planopilaris includes age, mostly middle-aged women are prone to developing this disease. Certain genes predispose a person to Lichen Planopilaris.

Caucasian adults are reported to have a higher incidence of this disease as compared to other populations. Individuals with a Hepatitis C infection go on to develop this disease.

Environmental factors certain medicines and toxins can also trigger the development of this disease. It is also observed that a certain scalp trauma can cause this disease.

What is the outcome of Lichen Planopilaris?

Lichen Planopilaris spontaneously resolves, however the hair loss is permanent. Relapse is commonly observed and the disease can return even after years of being in remission. This disease has a slow course of progression and is erratic making it highly unpredictable.

Источник: https://www.richfeel.com/lichen-planopilaris/

Lichen Planopilaris

Lichen planopilaris

This is an inflammatory condition that is rare and can result in having progressive patchy hair loss that occurs most of the time on your scalp that is permanent but can also affect other parts of your body that is hairy. Although it is a rare medical condition it is also one of the most common causes of scarring hair loss of your scalp.

There are three forms of lichen planopilaris that are recognized which are:

Frontal fibrosing alopecia

This is scarring and hair loss in the frontal region of your scalp and usually affect post-menopausal women over the age of fifty.

Graham Little syndrome

This is a rare variant of lichen planopilaris and is an inflammatory form of scarring hair loss. It usually affects women in the age range of thirty to seventy with it particularly affecting the post-menopausal middle-age group.

Follicular lichen planus

This is the another name for the classic lichen planopilaris.

It is a medical condition that usually will affect women of all ages and it can also affect men. Many times with a person having lichen planopilaris it will be in connection with lichen planus that affects the nails, skin, and mucosa.

When a person has lichen planopilaris it will usually present itself as smooth areas hair loss from your scalp that is white. In the spots where you have the hair loss you cannot see any hair follicle openings. At the outside on the edges of the spots there could be redness and scales around each of your hair follicle.

The hairs in these areas can be pulled out easily and it is also multifocal. The small patches where hair loss has occurred can come together to make bigger shapes that are irregular. The sites where hair loss is commonly found are usually on the front, lower back, and sides of your scalp and usually progress slowly.

Lichen Planopilaris Symptoms

There may be no symptoms at all but if there are they can include:

  • Itchiness
  • Pain
  • Discomfort
  • Tenderness
  • Burning

Lichen Planopilaris Causes

The reason that a person gets lichen planopilaris is not known but it is thought it could be the result of an allergic reaction to certain things penicillin, gold, anti-malarial agents and more.

The reason that some think these could be the cause of lichen planopilaris is that this inflammatory condition appears after some period of time which could be weeks or years after being exposed to these various things.

Some even think that it has some hereditary or genetic characteristics which mean if you are related to someone who has had it there is a chance you will get it.

Diagnosis

If you are visiting your dermatologist or physician because you are noticing hair loss that is permanent and is causing any of the above symptoms they will carefully examine your skin, nails, and mouth for lichen planus evidence.

An accurate diagnosis can be confirmed by having a biopsy from your scalp done which includes collecting hairs with scale and redness surrounding the sample at the bottom or top edge of the hair loss area. If the biopsy is taken from an already scarred area of hair loss it will not help make an accurate diagnosis.

They may not even be able to make an accurate diagnosis is the biopsy is taken from an area where there is no evidence of inflammation and there is just scarring hair loss that is patchy.

Lichen Planopilaris Treatment

You should seek treatment immediately after getting an accurate diagnosis for lichen planopilaris because there is no treatment that will be able to recover the hairs that are already gone and scarring has taken the hairs place.

The reason that you should treat this medical condition is to make sure the progression has been slowed and to help to relieve any symptoms that you might be experiencing.

You may still notice continual hair loss but at a rate that is slower.

Some of the treatments that used include:

Potent corticosteroids

Topical which are effective anti-inflammatory preparations and applied directly to the skin, intralesional which is a steroid injection that is injected immediately below your skin, or oral which are synthetic derivatives of the natural steroids and taken by mouth.

Topical tacrolimus

It has immunosuppressant activity and is given by injection or orally. It works directly on skin cells and your immune system

Tetracycline

This is an oral antibiotic used to treat skin diseases

Acitretin

This is an oral retinoid which is a vitamin A derivative that is taken after eating.

Hydroxychloroquine

This is an anti-malarial medication and occasionally used in inflammatory skin conditions

Mycophenolate mofetil

It is the salt form of mycophenolic acid which is an immunosuppressive medication. It works by inhibiting antibody production.

Griseofulvin

This is a medication that is used to treat ringworm and stops fungal cells from dividing.

Ciclosporin

This is a strong immunosuppressant medication.

There have even been some cases where lichen planopilaris has cleared up on its own but most of the time it does need to be treated. For the moderate itching you can take over-the-counter antihistamines for relief.

Lichen Planopilaris Pictures

Collection of Pics, Images and Pictures of Lichen Planopilaris…

Natural Treatment

To treat lichen planopilaris you can use anti-inflammatory herbs that can inhibit your immune response that can trigger inflammation. You can also take over-the-counter analgesics to help reduce the pain.

You can also use oats in your bath to help relieve the itchiness or make a paste of it and apply it to the itchy spots. Valerian is considered a calming herb so you can take it to help prevent and relieve the symptoms if there are any.

There is no natural treatment that will cure or prevent permanent hair loss scarring from lichen planopilaris

Источник: https://mddk.com/lichen-planopilaris.html

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