Diffuse Lichen Planopilaris Masquerading as Diffuse Alopecia Areata

Diffuse Lichen Planopilaris Masquerading as Diffuse Alopecia Areata

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Introduction: Lichen planopilaris Glass Blunts (LPP) is a primary lymphocytic cicatricial alopecia that represents a form of follicular lichen planus.Case Presentation: We describe a case of coexisting diffuse LPP and female pattern hair loss masquerading as diffuse alopecia areata in a 32-year-old female.Discussion: In complex cases such as this, dermoscopy-guided vertical and horizontal biopsies from androgen sensitive and insensitive areas are helpful in increasing diagnostic yield.Prompt initiation of treatment is key to halting disease progression.

Long-term follow-up is important as resolution Multi-Tools of clinical signs does not always correlate with the absence of disease progression.