Lichen planus follicularis

 

Inflammation of the scalp and hair caused by lichen planopilaris (LPP). lichen planus is a skin and mucous membrane inflammation. Hair follicle inflammation, scaly skin and redness surrounding the hair follicles can all be symptoms of alopecia. Hair clusters may be accompanied by little red lumps (papules). LLP can cause permanent hair loss due to scarring (cicatricial alopecia). Alopecia frontal, Lassueur Graham-Little Piccardi syndrome, and Lassueur Graham-Little Piccardi syndrome are the three types of LPP. Currently, there is no cure for LPP. An auto-immune disease of the hair follicles is suspected. Lichen Planopilaris is characterised by several signs and symptoms, including the ones listed below: (LPP). Depending on the individual, these characteristics may vary. More severe symptoms may be present in some persons whereas milder symptoms may not be present in others. Not every symptom or trait that has been described with this disease is included in the list.

Hair loss patches

Irritation on the scalp

Burning sensations on the scalp

Itchy scalp

 

Lichen planopilaris has no recognized cause. Skin and hair cells are considered to be attacked by white blood cells, resulting in the destruction of skin and hair. When diagnosing LPP, a clinical exam and microscopic inspection of a portion of the afflicted skin are required. Typically, a punch biopsy is used to get the skin sample. There is a possibility that LPP will be difficult to identify since its symptoms are similar to those of other, more prevalent diseases. If you have LPP, treatment focuses on controlling symptoms and keeping the disease from spreading. Corticosteroids, anti-malarial medicines, antibiotics, and retinoids are among the treatments utilised.  These can be ingested, injected, or applied to the skin in a variety of ways. Another possibility is light therapy. Often, people with LPP must attempt a variety of therapy options before their symptoms improve significantly. Dermatologists are one type of expert that may be engaged in the care of someone with lichen planopilaris.

Lichen planus follicularis timidus

Histopathology lichen planus follicularis timidus

It is an exceedingly rare form of lichen planus called Lichen planus follicularis tumidus (LPFT). A novel form of lichen planus with retroauricular involvement was reported for the first time in 1977 by Belaich et al. as LPFT. A violaceous to hyperpigmented plaque with white to yellow milia-like cysts and comedones characterises the disease. Rarely does it appear as a bilateral plaque in the retroauricular area.

As the name suggests, Lichen Planus Follicularis Tumidus (LPFT) is an uncommon clinicopathological variation of Lichen Planus (LP). Herpetic follicular infundibulum in the dermis with cystic dilation are characteristic of LPFT histopathologically. A dense lymphoid infiltration with an accompanying interface response is also seen. A uncommon form of lichen planopilaris (LPP), linear lichen planopilaris of the face has been documented in the literature. In addition to pigmented follicular papules that proceed to atrophy in a linear pattern, the cause is unclear. However, this uncommon variation primarily affects middle-aged males and shares comparable histological results with LPP. A type of lichen planus that affects the scalp, Lichen planus follicularis is most common in middle-aged people. Small red papules generally develop around a cluster of hairs as a result of this condition. Blistering occurs in the lesions only infrequently. Lesions on the skin and mucous membranes can also be observed in this type, which usually affects hair follicles on the scalp. Scalp lichen planus is the most frequent kind. Increased hair loss, itching, scaling, burning, and soreness are all common symptoms and indications. cicatricial alopecia causes permanent hair loss if the illness is aggressive enough to produce persistent scarring. Steroids are commonly used in treatment. If the disease is not progressive and stable for the last one to two years then hair transplant surgery is another option for alopecia. 

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