Table 1.
Reported cases of lichen planopilaris on the areas beyond the scalp
Author, year | Patients, n | Clinical features |
Histopathological findings | Dermoscopic examination | Therapy | Outcome | |
---|---|---|---|---|---|---|---|
Scalp lesion | Non-scalp lesion (n) | ||||||
Miteva et al. [15], 2010 | 2 | FFA | Acute patchy hair loss on the limbs | Concentric fibroplasia and follicular lymphocytic interface changes with vacuolar degeneration | NA | NA | NA |
Chew et al. [14], 2010 | 10 | FFA | Upper limb alopecia | Perifollicular lymphocytic infiltrate with interface change and perifollicular fibrosis, dermal fibrotic tract | NA | NA | NA |
László [6], 2014 | 1 | LPP (GLPLS) | Follicular dark red adherent tiny papules, axillary and pubic alopecia | Perifollicular lymphocytic infiltrate with focal vacuolar alteration | NA | NA | NA |
Vendramini et al. [2], 2017 | 1 | None | Isolated body hair loss on the limbs | Perifollicular lichenoid inflammation and scarring | Perifollicular erythema, discrete perifollicular scaling and broken hairs | Doxycycline 100 mg daily and topical clobetasol | Pruritus improved |
Arshdeep et al. [5], 2018 | 4 | LPP or FFA | Patchy alopecia of trunk, limbs, or eyebrows (4) | Lichenoid folliculitis and follicular scarring | Broken hairs, peripilar casts in active disease | NA | NA |
Facial papules (2) | Vellus hair LPP | Loss of vellus hairs | |||||
Generalized KP-like papules (1) | Lichenoid folliculitis and follicular destruction | Peripilar casts, gray-brown discoloration of follicular ostia, broken hairs | |||||
Present case | 1 | LPP | Generalized comedone-like keratotic papules | Perifollicular lymphocytic infiltrate with lichenoid reaction and dilated follicles | Perifollicular scaling with gray-brown dots | Hydroxychloroquine 200 mg daily, isotretinoin 10 mg daily and topical desoximetasone 0.25% | Slightly improved |
FFA, frontal fibrosing alopecia; GLPLS, Graham-Little-Piccardi-Lasseur syndrome; KP, keratosis pilaris; LPP, lichen planopilaris; n, number of patients; NA, data not available.