Trichoscopy as an Additional Diagnostic Tool for Monitoring of Lichen Planopilaris

May 2016 in “ Aktuelle Dermatologie ”

J. Andziukeviciute, Jurgita Makštienė, Skaidra Valiukevičienė

lichen planopilaris scarring alopecia trichoscopy topical corticosteroids hydroxychloroquine LPP scarring hair loss topical steroids Plaquenil

TLDR Trichoscopy helps monitor inflammation in Lichen planopilaris.

Lichen planopilaris (LPP) is a rare inflammatory disorder affecting hair follicles, leading to scarring alopecia. A 34-year-old woman presented with hair loss and scalp itching, and was diagnosed with classic LPP through clinical symptoms, trichoscopy, and histological findings. Topical corticosteroids were ineffective, but remission was achieved after 2 months of treatment with hydroxychloroquine 200 mg twice daily. Trichoscopy proved useful as an additional diagnostic tool for monitoring inflammation in LPP.