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QUESTION OF THE WEEK


Lichen planopilaris: Classic trichoscopic findings

Classic trichoscopic findings of LPP

Classic trichoscopy of active lichen planopilaris, an immune mediated scarring alopecia is shown below.

Classic trichoscopic image from a patient with active lichen planopilaris (LPP)

Classic trichoscopic image from a patient with active lichen planopilaris (LPP)

There is redness and scale around hairs (called perifollicular erythema and perifollicular scale). Some hairs are twisted (called pili torti). The areas of scalp devoid of hairs are no longer red as the immune system has destroyed hairs in that area and has since left the area. Treatments discussed in other posts as in the following link.

Treatments for LPP: What is available?


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.



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