Líquen plano pilar: a importância do diagnóstico precoce The biopsy’s result was consistent with lichen planopilaris and the patient. Lichen planopilaris (LPP) is an uncommon inflammatory scalp disorder that is clinically characterized by perifollicular erythema, follicular. Lichen planopilaris is a frequent presentation of primary cicatricial alopecia. .. cicatriciais causadas por lúpus eritematoso discoide e líquen plano pilar.

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METHODS An observational and retrospective study was performed through review of medical records of patients diagnosed with lichen planopilaris. The Cleveland Clinic Foundation experience on evaluation, diagnosis, and treatment.

The plaano have no ethical conflicts to declare. Burket’s oral medicine 11th ed. American Academy of Dermatology. Lack of lasting improvement or cure in the majority of patients.

This finding should be linked to at least one of the following: In more advanced lesions, perifollicular fibrosis and replacement of hair follicles by fibrosis are found. In the classic LPP group it was possible to characterize 2 distinct clinical features.

Cochrane Database of Systematic Reviews. J Cutan Med Surg. In the mouth, vagina and other areas covered by a mucous membrane, lichen planus forms lacy white patches, sometimes with painful sores. Disclosure Statement The authors have no conflicts of interest to disclose. This variant has increasingly been described as a variation of LPP; although clinically similar to male pattern or female pattern androgenetic alopecia, the perifollicular linchenoid inflammatory process histologically characterizes this entity Figure 3.


Footnotes Conflict of Interest: Lichen planopilaris presenting as truncal alopecia: LPP is more frequent in women than in men. Lichen planopilaris usually affects young adult women, although the age range is wide and it also affects men. Traditionally, it can be divided into three different clinical types: Statement of Ethics The patient’s consent was obtained. Dermoscopic criteria for exclusion were: Although usually asymptomatic, it can be associated with itching or pain.

Gerritsen [ 18 ]. Disease definition Lichen planopilaris LPP is a rare cutaneous variant of lichen planus see this term which affects hair follicles.

Liqjen Center for Biotechnology InformationU. Patient with fibrosing alopecia in a pattern distribution showing confluent alopecia plaques in the central region of the scalp. In some cases it was not possible to fill the questionnaire due to lack of data in retrospective notes.

This article lpano been cited by other articles in PMC. The cause of lichen planus is unknown, [6] [34] [39] but it is not contagious and does not involve any known pathogen.

Orphanet: Liquen plano pilaris

Cochrane Database of Systematic Reviews 4. Jaworsky C, Gilliam A. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment.

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Two other variants of LPP can be observed: Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. A skin biopsy specimen showed an intense lymphocytic infiltrate around the upper portion of the hair follicles, vacuolization of the basal layer and destruction of the outer epithelial sheets of the follicles fig. No pilariss follicle openings can be seen in the areas of hair loss.


Lichen planus – Symptoms and causes – Mayo Clinic

If the condition causes pain or significant itching, you may need prescription drugs. Biopsy from an already scarred area of hair loss is unhelpful. The study excluded patients without histological confirmation of lymphocytic cicatricial alopecia. Infante [ 20 ].

Linear Lichen Planopilaris of the Face: Case Report and Review

A patient with FFA had involvement of the 20 nails. Surgery such as scalp reduction and hair transplantation has been used for end-stage disease with large areas of scarring, but is not always successful. These symptoms can include a burning sensation to severe pain. The overall prevalence of lichen planus in the general population is about 0. Physical examination showed a 0. Short course of oral cyclosporine in lichen planopilaris. Mayo Clinic, Rochester, Minn. Other options, such as cyclosporine, thalidomide and griseofulvin, have been used with variable response, but were not used by the patients included in this sample.

By using this site, you agree to the Terms of Use and Privacy Policy. Received Aug 9; Accepted Nov