TITLE:
Lichen Planopilaris is a Common Scarring Alopecia among Iraqi Population
AUTHORS:
Khalifa E. Sharquie, Adil A. Noaimi, Ammar F. Hameed
KEYWORDS:
Cicatricial Alopecia; Lichen Planopilaris; Moth Eaten Alopecia
JOURNAL NAME:
Journal of Cosmetics, Dermatological Sciences and Applications,
Vol.3 No.3A,
September
10,
2013
ABSTRACT: Background: Scarring
alopecia like discoid lupus erythematosus, lichenplanopilaris and scarring
folliculitis are common skin problems where differentiations between them are often
difficult in many cases. Objective: To report, study and evaluate cases of lichen planopilaris and characterize the
different clinical points in favor of this disease. Patients and Methods: This case series descriptive study was
done at Department of Dermatology-Baghdad Teaching Hospital from January 2010
to November 2012. Sixty seven patients were included where histological and
dermatological examinations were carried out to all patients regarding all
relevant points related to the disease. Punch biopsies were performed from ten
patients for histopathological study. Results: The mean age of onset of the disease was 36.7 ± 5 years with a mean duration of
the disease being 4.4 ± 3 years. The male to female ratio was 1.4:1. The
characteristic lesions were pigmented scarring moth eaten alopecia surrounded
by pigmented hyperkeratotic follicular papules involving mainly the fronto-vertical
and parietal scalp. Conclusions: Lichen
planopilaris is a common cause of scalp scarring alopecia in adult and it has
many characteristic clinical features which can facilitate differentiation from
other pathologic scalp conditions like discoid lupus erythematosus.