Treatment FAQ

women who had excimer laser treatment of lichens plano pilaris

by Juana Sawayn I Published 3 years ago Updated 2 years ago

Is there a gold standard therapeutic approach for classic lichen planopilaris?

Aug 01, 2020 · Prevalence of hormonal and endocrine dysfunction in patients with lichen planopilaris (LPP): a retrospective data analysis of 168 patients. Frontal fibrosing alopecia and lichen planus pigmentosus. In our study population 16.4% (38) of women were on HRT and 16.8% (39) had surgically induced menopause with TAH/BSO.

Does tumor necrosis factor α inhibitor cause lichen planopilaris?

Feb 27, 2018 · Abstract. Several treatment strategies have been proposed in classic lichen planopilaris (LPP), although no gold standard therapeutic approach has been recognized so far due to the variable and, sometimes, contradictory results reported in the literature, as well as due to the lack of guidelines and randomized controlled trials.

What are the best books on lichen planus (planus vulgaris)?

Effectiveness of low-level laser therapy in lichen planopilaris J Am Acad Dermatol. 2018 May;78(5):1020-1023. doi: 10.1016/j.jaad.2017.11.040. Epub 2017 Dec 1. Authors Pablo Fonda-Pascual 1 ... Treatment Outcome Supplementary concepts Lichen planus follicularis ...

Is there any new treatment for lichen planopilaris?

Antimalarial Drug Plus Adalimumab Aids Hair Regrowth in Lichen Planopilaris. The combination of the biologic adalimumab and hydroxychloroquine may be responsible for the improvement in lichen planopilaris, including the hair regrowth, according to the study.Mar 7, 2020

Does lichen planopilaris ever go away?

In most cases, lichen planus will go away within 2 years. If you have symptoms, such as severe itching or sores in your mouth or genital area, treatment can help.

What is the best treatment for lichen planopilaris?

Antimalarial drugs are commonly used to treat lichen planopilaris. Hydroxychloroquine 200 mg twice daily is generally used and is often considered first-line systemic therapy. Improvement is usually seen within 6 months.Jun 25, 2021

Can lichen planopilaris go into remission?

To make the situation even more complex, it is well known that lichen planopilaris (LPP) and other scarring alopecias can go through periods of activity and remission for many years and that in pseudopelade of Brocq, the hair loss is not associated with any apparent inflammation.Jul 20, 2016

Is sun good for lichen planopilaris?

If the lichen planus is on the regular skin and not very severe, treatment is often not needed. If the lichen planus is caused by the sun (some cases of lichen planus pigmentosus), a strong sunscreen (sun protection factor [SPF] 50 or higher) should be used daily.

Can lichen planopilaris be reversed?

The hair loss caused by Lichen Planopilaris cannot be reversed, however, progression of the condition can be limited in some people. Treatments used to slow the progression of the condition include anti-inflammatory agents, including corticosteroids, ciclosporin and hydroxychloroquine.Jul 24, 2020

What causes lichen planopilaris to flare up?

Lichen planus can be triggered by: Hepatitis C infection. Flu vaccine. Certain pigments, chemicals and metals.Mar 9, 2021

Why do I have lichen planopilaris?

The cause of lichen planopilaris is unknown. It is thought to be an autoimmune disorder in which white blood cells attack and destroy skin and hair cells .

Why is my immune system attacking my hair follicles?

Alopecia areata is an autoimmune disease. This means that your immune system mistakenly attacks a part of your body. When you have alopecia areata, cells in your immune system surround and attack your hair follicles (the part of your body that makes hair).

How does lichen planopilaris start?

The exact cause of lichen planopilaris is unknown. It is thought to be a cytotoxic autoimmune response to an unknown antigen located in hair follicles. The disease is rarely gene-related.

Can minoxidil help lichen planopilaris?

Effectiveness of low-level laser therapy in lichen planopilaris. have been reported to promote hair growth, topical minoxidil is the most frequently used adjunctive therapy.Apr 11, 2020

What foods should you avoid if you have lichen planus?

They'll likely hurt the most when you eat or drink foods that are spicy, salty, acidic (orange juice, tomatoes), or alcoholic. Crispy treats and drinks with caffeine can also cause problems. Your doctor can diagnose oral lichen planus by taking a small piece of skin from inside your mouth.Sep 23, 2020

Does Lichen Planopilaris cause hair loss?

Lichen planopilaris is a scarring alopecia with the potential to cause permanent hair loss . Treatment helps stop the disease in many but may or may not actually help the hair to grow back. Treatment, however, may help reduce symptoms such as scalp itching, burning or tenderness.

What is the best treatment for LPP?

Oral cyclosporine is probably the most helpful treatment for LPP overall but rarely we start with this due to side effects (it's viewed as a “third-line option” in my pratice). It may help up to 80 % of patients. The next best is probably methotrexate and hydroxychloroquine with up to 60 % benefiting.

Who is Jeff Donovan?

Dr. Jeff Donovan is a Canadian and US board certified dermatologist specializing exclusively in hair loss. To schedule a consultation, please call the Whistler office at 604.283.1887.

What is the best treatment for a swollen ear?

These options include topical steroids, topical calcineurin inhibitors, steroid injections, and oral medications such as hydroxychlorqouine, doxycycline, methotrexate, cyclosporine and mycophenolate and isotretinoin. These are by far the most helpful nine treatments.

How long does it take for a symtom to go away?

Symptoms however can go away very quickly on the right treatment (3-4 weeks). In discussing treatment options with one’s physician, side effects, ease of use, and cost must be taken into account. Some treatments like topical steroids and steroid injections have a fairly good side effects profile if used correctly.

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