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.

Author: Nall Vudokinos
Country: Madagascar
Language: English (Spanish)
Genre: Politics
Published (Last): 13 February 2013
Pages: 443
PDF File Size: 3.56 Mb
ePub File Size: 17.98 Mb
ISBN: 653-8-44597-705-4
Downloads: 57854
Price: Free* [*Free Regsitration Required]
Uploader: Fenrilkis

The rest of the skin, oral mucosa and nails were normal. Dermoscopy showed areas of cicatricial alopecia with absence of follicular openings, perifollicular erythema and pigment.

Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Linear lichen planopilaris of the trunk: J Pilariis Acad Dermatol. Fibrosing alopecia in a pattern distribution: These types often coexist in the same individual. International Journal planno Paediatric Dentistry.

FFA was considered in patients with alopecia in the line of hair implant of frontotemporal region.

Lichen planopilaris | DermNet NZ

A plank of 29 patients with lichen planopilaris: A Color Guide to Diagnosis and Therapy. Lichen planus lesions are diagnosed clinically liqusn their “lichen-like” appearance. Lichen planopilaris of the vulva. Andrews [ 21 ]. Freckles lentigo melasma nevus melanoma. For cosmetic purposes we treated the red coloration with pulse dye laser Syneron Candela nm and the atrophy with hyaluronic acid filler Restylane Perlane with good results fig.

Frontal fibrosing alopecia presenting with components of Piccardi-Lassueur-Graham-Little syndrome.

Among the most frequently observed dermoscopic findings, perifollicular hyperkeratosis and reduction of the number of follicles was observed in Distribution of the lesions on the scalp characterize the main clinical forms.


Pizzorno Pilarie, et al. Mirmirani P, Karnik P. Lichen planus can be part of Grinspan’s syndrome. Pano contrast to cutaneous LP, which is self limited, lichen planus lesions in the mouth may persist for many years, [43] and tend to be difficult to treat, with relapses being common. Lichen planopilaris is suspected on the clinical presentation and careful examination of the mouth, nails and skin for evidence of lichen planus elsewhere.

Cochrane Database of Systematic Reviews. Triggering factors could be pharmacologic agents, contact sensitizers or infectious agents.

LPP or lichen planus follicularis, a subtype of lichen planus, is an inflammatory condition characterized by patchy or diffuse hair loss with erythematous papules and keratotic follicular lesions that evolve to cicatricial alopecia [ 12 ]. Infante [ 20 ]. Usatine RP, et al. The etiology is unknown and is characterized by pigmented follicular papules that progress to atrophy in a linear distribution.

Camouflage with careful hair styling and hair colouring. There is no long-term effective treatment for LPP. When it affects the nails, lichen planus causes thinning, ridging and splitting.

Zhao [ 14 ]. There was no significant difference between the groups regarding age.

One group with confluent random plaques distributed throughout the olano and other with confluent plaques in the central region of the scalp, clinically similar to male pattern or female pattern androgenetic alopecia, what is called fibrosing alopecia in a pattern distribution FAPD.

Also see your doctor if you experience any signs or symptoms associated with lichen planus of the mouth, genitals, scalp or nails. It has been proposed that it is caused by an autoimmune reaction against follicular antigens mediated pilrais T-lymphocytes [ 145 ].


Lichen planus

Lichen planopilaris presenting as truncal alopecia: Open in a separate window. LPP is a diagnostic challenge. As with AA, these dots may be due to disease activity or external manipulation of the stalks in processes to camouflage the flaws, which may break strands and form black pjlaris, similar to what occurs in trichotillomania. Patient with advanced frontal fibrosing alopecia characterized by progressive cicatricial alopecia affecting the implant hairline in the frontotemporal region.

Orphanet: Liquen plano pilaris

Author information Article notes Copyright and License information Disclaimer. Andrews’ Diseases of the skin: Generally, oral lichen planus tends not to cause any discomfort or pain, although some people may experience soreness when eating or drinking acidic or spicy foodstuffs or beverages. Please review our privacy policy. The descriptive analysis of the data was made by building contingency tables for categorical variables. A rare case of facial linear lichen planopilaris with a response to topical corticosteroids Poster reference number J Am Acad Derm.

Linear Lichen Planopilaris of the Face: Case Report and Review

To recognize the heterogeneity of the clinical appearance in lichen planopilaris is important for differential diagnosis. Diagnosis is difficult in the later stages when inflammation disappears. Goldsmith LA, et al.