Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report

Gordana Savčić; Miloš Kostov; Mirjana Paravina

doi:doi:10.11648/j.ijcd.20180102.12

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Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report

Gordana Savčić, Miloš Kostov, Mirjana Paravina

Published in International Journal of Clinical Dermatology (Volume 1, Issue 2)

Received: 1 September 2018 Accepted: 25 September 2018 Published: 23 October 2018

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Abstract

Background: Lichen planopilaris is relatively rare inflammatory disorder that results in cicatricial alopecia. It is a rare, cutaneous form of lichen planus which affects hair follicles, most commonly on the scalp area. It is caused by an autoimmune disorder that leads to follicular destruction and permanent hair loss. Case history: We are presenting the case of a patient who is 21 years old and who suffers from cicatricial alopecia and follicular hyperkeratosis of the parietal region of the scalp. Initially, she was diagnosed with seborrheic dermatitis and has been treated with local corticosteroid therapy for several months by her doctor. She was admitted to the Department of Dermatology with lessions located on the scalp. A clinical examination revealed exudative erythema with prominent circumferential hair follicle openings and the presence of sticky, yellowish crusts and scales whose removal caused bleeding. There were a several locations with significant cicatricial alopecia which look like porcelain. Dermoscopy showed perifollicular squamas. Routine laboratory analyses and immunological analysis were in normal range. Finally, after taking a biopsy and histopathological findings, we have come to a differential diagnosis which may include fibrous and suppurativ follicular disorders, as well as lichen planopilaris. The patient was treated with keratolytic lotions, combination of corticosteroid preparation and salicylic acid applied topicaly, and tacrolimus 1% cream which was used twice per day for several months. This terapy was successful, crusts did not return and progression of the disease was stopped.

Published in	International Journal of Clinical Dermatology (Volume 1, Issue 2)
DOI	10.11648/j.ijcd.20180102.12
Page(s)	34-38
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Lichen Planopilaris, Alopecia Cicatricialis, Inflamation

References

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APA Style

Gordana Savčić, Miloš Kostov, Mirjana Paravina. (2018). Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report. International Journal of Clinical Dermatology, 1(2), 34-38. https://doi.org/10.11648/j.ijcd.20180102.12

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ACS Style

Gordana Savčić; Miloš Kostov; Mirjana Paravina. Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report. Int. J. Clin. Dermatol. 2018, 1(2), 34-38. doi: 10.11648/j.ijcd.20180102.12

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AMA Style

Gordana Savčić, Miloš Kostov, Mirjana Paravina. Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report. Int J Clin Dermatol. 2018;1(2):34-38. doi: 10.11648/j.ijcd.20180102.12

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@article{10.11648/j.ijcd.20180102.12,
  author = {Gordana Savčić and Miloš Kostov and Mirjana Paravina},
  title = {Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report},
  journal = {International Journal of Clinical Dermatology},
  volume = {1},
  number = {2},
  pages = {34-38},
  doi = {10.11648/j.ijcd.20180102.12},
  url = {https://doi.org/10.11648/j.ijcd.20180102.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20180102.12},
  abstract = {Background: Lichen planopilaris is relatively rare inflammatory disorder that results in cicatricial alopecia. It is a rare, cutaneous form of lichen planus which affects hair follicles, most commonly on the scalp area. It is caused by an autoimmune disorder that leads to follicular destruction and permanent hair loss. Case history: We are presenting the case of a patient who is 21 years old and who suffers from cicatricial alopecia and follicular hyperkeratosis of the parietal region of the scalp. Initially, she was diagnosed with seborrheic dermatitis and has been treated with local corticosteroid therapy for several months by her doctor. She was admitted to the Department of Dermatology with lessions located on the scalp. A clinical examination revealed exudative erythema with prominent circumferential hair follicle openings and the presence of sticky, yellowish crusts and scales whose removal caused bleeding. There were a several locations with significant cicatricial alopecia which look like porcelain. Dermoscopy showed perifollicular squamas. Routine laboratory analyses and immunological analysis were in normal range. Finally, after taking a biopsy and histopathological findings, we have come to a differential diagnosis which may include fibrous and suppurativ follicular disorders, as well as lichen planopilaris. The patient was treated with keratolytic lotions, combination of corticosteroid preparation and salicylic acid applied topicaly, and tacrolimus 1% cream which was used twice per day for several months. This terapy was successful, crusts did not return and progression of the disease was stopped.},
 year = {2018}
}

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TY - JOUR
T1 - Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report
AU - Gordana Savčić
AU - Miloš Kostov
AU - Mirjana Paravina
Y1 - 2018/10/23
PY - 2018
N1 - https://doi.org/10.11648/j.ijcd.20180102.12
DO - 10.11648/j.ijcd.20180102.12
T2 - International Journal of Clinical Dermatology
JF - International Journal of Clinical Dermatology
JO - International Journal of Clinical Dermatology
SP - 34
EP - 38
PB - Science Publishing Group
SN - 2995-1305
UR - https://doi.org/10.11648/j.ijcd.20180102.12
AB - Background: Lichen planopilaris is relatively rare inflammatory disorder that results in cicatricial alopecia. It is a rare, cutaneous form of lichen planus which affects hair follicles, most commonly on the scalp area. It is caused by an autoimmune disorder that leads to follicular destruction and permanent hair loss. Case history: We are presenting the case of a patient who is 21 years old and who suffers from cicatricial alopecia and follicular hyperkeratosis of the parietal region of the scalp. Initially, she was diagnosed with seborrheic dermatitis and has been treated with local corticosteroid therapy for several months by her doctor. She was admitted to the Department of Dermatology with lessions located on the scalp. A clinical examination revealed exudative erythema with prominent circumferential hair follicle openings and the presence of sticky, yellowish crusts and scales whose removal caused bleeding. There were a several locations with significant cicatricial alopecia which look like porcelain. Dermoscopy showed perifollicular squamas. Routine laboratory analyses and immunological analysis were in normal range. Finally, after taking a biopsy and histopathological findings, we have come to a differential diagnosis which may include fibrous and suppurativ follicular disorders, as well as lichen planopilaris. The patient was treated with keratolytic lotions, combination of corticosteroid preparation and salicylic acid applied topicaly, and tacrolimus 1% cream which was used twice per day for several months. This terapy was successful, crusts did not return and progression of the disease was stopped.
VL - 1
IS - 2
ER -

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Author Information

Gordana Savčić
Miloš Kostov
Mirjana Paravina

Department of Dermatovenerology, Faculty of Medicine, University of Ni?, Ni?, Serbia

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APA Style

Gordana Savčić, Miloš Kostov, Mirjana Paravina. (2018). Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report. International Journal of Clinical Dermatology, 1(2), 34-38. https://doi.org/10.11648/j.ijcd.20180102.12

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ACS Style

Gordana Savčić; Miloš Kostov; Mirjana Paravina. Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report. Int. J. Clin. Dermatol. 2018, 1(2), 34-38. doi: 10.11648/j.ijcd.20180102.12

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AMA Style

Gordana Savčić, Miloš Kostov, Mirjana Paravina. Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report. Int J Clin Dermatol. 2018;1(2):34-38. doi: 10.11648/j.ijcd.20180102.12

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@article{10.11648/j.ijcd.20180102.12,
  author = {Gordana Savčić and Miloš Kostov and Mirjana Paravina},
  title = {Lichen Planopilaris, Dijagnosis and Therapy Challenge - Case Report},
  journal = {International Journal of Clinical Dermatology},
  volume = {1},
  number = {2},
  pages = {34-38},
  doi = {10.11648/j.ijcd.20180102.12},
  url = {https://doi.org/10.11648/j.ijcd.20180102.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20180102.12},
  abstract = {Background: Lichen planopilaris is relatively rare inflammatory disorder that results in cicatricial alopecia. It is a rare, cutaneous form of lichen planus which affects hair follicles, most commonly on the scalp area. It is caused by an autoimmune disorder that leads to follicular destruction and permanent hair loss. Case history: We are presenting the case of a patient who is 21 years old and who suffers from cicatricial alopecia and follicular hyperkeratosis of the parietal region of the scalp. Initially, she was diagnosed with seborrheic dermatitis and has been treated with local corticosteroid therapy for several months by her doctor. She was admitted to the Department of Dermatology with lessions located on the scalp. A clinical examination revealed exudative erythema with prominent circumferential hair follicle openings and the presence of sticky, yellowish crusts and scales whose removal caused bleeding. There were a several locations with significant cicatricial alopecia which look like porcelain. Dermoscopy showed perifollicular squamas. Routine laboratory analyses and immunological analysis were in normal range. Finally, after taking a biopsy and histopathological findings, we have come to a differential diagnosis which may include fibrous and suppurativ follicular disorders, as well as lichen planopilaris. The patient was treated with keratolytic lotions, combination of corticosteroid preparation and salicylic acid applied topicaly, and tacrolimus 1% cream which was used twice per day for several months. This terapy was successful, crusts did not return and progression of the disease was stopped.},
 year = {2018}
}

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