Lichen Planopilaris: The Alopecia We Cannot Overlook

Lichen planopilaris (LPP) is a rare chronic inflammatory condition affecting the hair follicles, often resulting in scarring alopecia if not promptly diagnosed and managed. We present the case of a 65-year-old woman who visited primary care due to progressive hair loss, pruritus, and scalp inflammation. Initial empirical treatment with topical agents provided partial relief. Dermatology consultation confirmed the diagnosis of LPP, and systemic corticosteroid therapy was initiated. Early recognition and coordinated management with dermatology helped stabilize the condition. This case highlights the importance of early identification of inflammatory scalp conditions in primary care. Categories: Family/General Practice, Dermatology, Allergy/Immunology