Lichen Planopilaris
Lichen planopilaris is a rare, inflammatory scalp condition often leading to permanent hair loss if not treated promptly.
What is lichen planopilaris?
Lichen planopilaris is a rare, chronic inflammatory condition that affects the scalp, leading to patchy hair loss. It is a form of lichen planus that specifically targets hair follicles, causing inflammation and scarring. Over time, this can result in permanent hair loss in the affected areas.
What causes lichen planopilaris
The exact cause of lichen planopilaris is not fully understood, but it is believed to be related to an autoimmune response. The immune system mistakenly attacks the hair follicles, leading to inflammation and scarring that can result in permanent hair loss.
Other related factors may include:
- •Genetics
- •Environmental triggers
- •Stress
- •Reactions to other autoimmune diseases
General symptoms
General symptoms of lichen planopilaris include:
How to treat lichen planopilaris
Lichen planopilaris can be treated with a variety of creams, tablets, and medications. However, the success of each option will vary depending on the severity of the condition. We will discuss all available options with you during your consultation.
Strong steroid creams, lotions, or solutions
Are often applied directly to the scalp to reduce inflammation and control symptoms like itching and redness. These are usually the first line of treatment.
Corticosteroid injections
For more severe areas, corticosteroids can be injected directly into the affected scalp to reduce inflammation and slow hair loss.
Oral corticosteroids
In cases where topical treatments are not sufficient, oral corticosteroids may be prescribed to reduce systemic inflammation. However, these are usually used for short periods due to potential side effects.
Immunosuppressive medications
May be used to suppress the immune system's attack on hair follicles. These medications are often considered for more severe or resistant cases.
Tetracycline antibiotics
Have anti-inflammatory properties and can be used to reduce inflammation in the scalp.
How to prevent lichen planopilaris
Preventing lichen planopilaris is not entirely possible as it is a chronic condition that has a high likelihood of recurrence. However, there are some strategies that may help reduce the risk of triggering or exacerbating the condition:
- •Manage stress levels
- •Avoid harsh or irritant hair chemicals
- •Maintain a healthy lifestyle
Important information
When should I see a dermatologist about lichen planopilaris?
You should see a dermatologist if you notice patchy hair loss, itching, burning, or pain on your scalp, especially if these symptoms persist or worsen over time. Acting early and consulting a medical professional before things get severe gives you the best chance at preventing permanent hair loss.
What's the first step for dealing with lichen planopilaris?
The first step is to book a consultation with one of our experts. From there, we will assess your hair and scalp, reviewing the pattern and severity of your condition, as well as any underlying scalp conditions. We will also consider your medical history, current medications, and any prior treatments you've undergone. Our team will then recommend the most effective treatment tailored to your needs, along with an aftercare plan aimed at promoting hair regrowth and improving overall scalp health.
Lichen planopilaris FAQs
We strive to provide you with advice and options to regain confidence in your hair. By implementing the appropriate measures, you can achieve significant improvements in hair growth and overall hair health.
Accreditations & memberships
Our consultants are members of leading UK and international dermatology and hair specialist bodies.
- Royal College of Physicians
- European Hair Research Society (EHRS)
- British Association of Dermatologists
- British Hair & Nail Society
- American Academy of Dermatology Association (AAD)
- European Academy of Dermatology & Venereology (EADV)