Lichen planopilaris (LPP)
January 2023
TLDR Treat active lichen planopilaris early to prevent permanent hair loss.
The document focused on the management of lichen planopilaris (LPP), emphasizing the importance of treating active disease to prevent further hair loss, as scarred areas are typically irreversible. It provided essential information for dermatology trainees and junior doctors on various treatment options. Active disease was indicated by symptoms such as itching, pain, burning, perifollicular hyperkeratosis, perifollicular erythema, ongoing hair loss, and biopsy results. The document recommended considering a tapering course of oral steroids (0.5–1 mg/kg) to stabilize active disease.