Open Monday to Saturday
Monday to Friday: 9:00am to 6:00pm
Saturday: 9:30am to 5:00pm
The London Skin and Hair Clinic
233 High Holborn, London WC1V 7DN
Send a Query

Your Name*

Your Email*

Phone Number*

Your Message*

Alternatively you can book a consultation online

Lichen Planopilaris


What is Lichen Planopilaris

Lichen planopilaris is one of the scarring alopecias and usually presents as patchy hair loss on the scalp. Lichen planopilaris encompasses various different forms of alopecia that lead to scarring including, central centrifugal cicatricial alopecia (CCCA), lichen planopilaris, cicatricial alopecia and frontal fibrosing alopecia.

What are the symptoms of Lichen planopilaris?

Lichen planopilaris usually presents as patchy hair loss on the scalp. The patches maybe red or inflamed and there may be scaling around the ndividual hair follicles. Patients may complain of burning pain or tenderness in these areas. The patches of hair loss may appear smooth and shiny due to the loss of the follicular openings.

Whilst the most common presentation is hair loss from the scalp, eyebrows and hair on the body can also be affected.

What causes Lichen planopilaris

The cause of lichen planopilaris is unknown but it is an inflammatory condition in the skin thought not to be associated with infection.

Who is at risk of Lichen planopilaris?

Lichen planopilaris is more common in women than in men. They mostly affect Caucasian females over the age of 40

How does a dermatologist diagnose Lichen planopilaris?

Early diagnosis is important to help halt the progression of the condition. There may be other hair loss conditions present and so a Dermatologist who specializes in hair loss and scalp conditions will look to identify all the conditions causing the hair loss.

Diagnosis may involve physical examination with a Dermatascope, hair pull tests, blood tests to rule out underlying medical conditions, and in some cases a scalp biopsy. A specialist pathologist who is experienced in hair loss and scalp conditions will assess the skin biopsy and typically 2-3 samples are required from the scalp at areas where scarring is visible.

How does a dermatologist treat Lichen planopilaris?

As this condition can result in permanent hair loss, early treatment is important. This condition can be difficult to treat and not all patients respond to treatment. The aim of treatment is to prevent progression of the hair loss rather than being able to regrow hair.

Treatments can include topical treatments such as topical steroids or topical calcineurin inhibitors or intralesional steroid injections to the affected areas. Systemic treatment can also be used such as hydroxychloroquine, the tetracycline group of antibiotics for their role as anti-inflammatory agents or sometimes other immunosuppressive medication. Treatment with systemic medication for lichen planopilaris does need close clinical monitoring as some of the medications do have side effects.

Where can I get patient support for Lichen planopilaris?

Alopecia UK


Related Treatment

Latest News

August 25, 2021
We are looking for experienced Aesthetic Skin Practitioners for our Cosmetic Dermatology division, London Real Skin. Applicants MUST have at...
March 5, 2021
An initial consultation with a private Dermatologist in London will cost from £240 to £300 and around £190 to £200...

Book a Consultation

If you are an existing patient of the clinic, or you know the type of medical dermatology consultation you require, you can book online directly - click below to see our Dermatologists schedules. We charge a £10 deposit to confirm the apopintment which is deducted from the consultation charge, or for insured patients, refunded when you provide valid insurance details.
If you are not sure which of our Dermatologists is most suitable for you, please fill out the form below and one of our team will contact you to schedule an appointment for you

COVID-19 - Find out about our covid secure measures in place at the clinic to protect our patients and staffFind Out More
+ +