Lichen Planopilaris (Scarring Alopecia) in a Child

The document described a case of lichen planopilaris, a type of scarring alopecia, in a 12-year-old boy who experienced progressive patchy hair loss on the scalp, accompanied by dusky blue eruptions on the upper lip and eyebrows. Examination revealed plaques of alopecia with smooth, shiny, atrophic skin and erythema, along with erythematous, scaly, follicular papules. Histological analysis showed hyperkeratosis, hypergranulosis, and a band-like lymphohistiocytic infiltrate. Treatment with ultramicronized griseofulvin and prednisolone for 6 months, supplemented with topical betamethasone dipropionate, resulted in an excellent response, with a noticeable decline in the inflammatory infiltrate.