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    Lichen Planopilaris and Homoeopathy

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    Dr. Rajneesh Kumar Sharma MD Hom
    LICHEN PLANOPILARIS AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. Swati Vishnoi BHMS Dr. Preetika Lakhera BHMS Dr. Mohammad Tayyab Daud BHMS Dr. Mohammad Tayyab Amir BHMS Homoeo Cure Research Institute NH 74- Moradabad Road Kashipur (UTTARANCHAL) - INDIA Ph- 09897618594 E. mail- [email protected] www.treatmenthomeopathy.com www.homeopathyworldcommunity.com Contents Definition 1 Etymology 2 Epidemiology 2 Causes 2 Pathology 2 Types 3 Classic LPP 3 Frontal fibrosing alopecia 3 Lassueur Graham-Little Piccardi syndrome 4 Signs and Symptoms 4 Diagnosis 5 Differential Diagnosis 5 Treatment 5 Homoeopathic treatment 6 Common remedies for Lichen planopilaris 6 Short repertory of Lichen planopilaris 6 Bibliography 8 Definition Lichen planopilaris is a rare inflammatory condition of skin resulting in patchy progressive permanent hair loss primarily on the scalp. Although lichen planopilaris is rare, it is one of the common causes of scarring hair loss of the scalp. (Psora/ Sycosis/ Syphilis) Etymology Follicular lichen planus, Frontal fibrosing alopecia (subtype), Kossard disease, Lichen planopilaris classic type, LPP, Lichen planus follicularis, Lichen follicularis Epidemiology Lichen planopilaris usually affects young adult women, although the age range is wide and it also affects men. It commonly develops in association with lichen planus affecting the skin, mucosa and nails. Causes The exact cause of this disorder is unknown but it is assumed to be an autoimmune disorder. T-lymphocytes are known to be involved, however, the trigger is not yet known. The hair loses its protection from the immune system. The immune system then starts to attack the hair follicle. Its activating factors may include- • Pharmacologic agents (Causa occasionalis) • Contact sensitizers (Causa occasionalis) • Infectious agents (Psora/ Syphilis/ Causa occasionalis) Pathology Lichen planopilaris affects hairy areas of skin. It is an example of a primary lymphocytic folliculitis. Lichen planopilaris destroys the hair follicle and then replaces it with scarring. Histology reveals the following characteristic features- • Absence of errector pili muscles (Syphilis) • Absence of sebaceous glands (Syphilis) • Perivascular and perifollicular lymphocytic infiltrate in the reticular dermis (Syphilis/ Sycosis) • Mucinous perifollicular fibroplasia within the upper dermis with absence of interfollicular mucin (Syphilis/ Sycosis) • Superficial perifollicular wedge-shaped scarring (Psora/ Sycosis/ Syphilis) Follicular lesions occurring in the scalp are accompanied by some scaling and are likely to lead to a scarring alopecia (Psora/ Sycosis/ Syphilis). Very rarely, the scalp alone is involved. Graham Little–Piccardi–Lassueur syndrome comprises the triad of multifocal scalp cicatricial alopecia (Psora/ Sycosis/ Syphilis), non-scarring alopecia of the axillae and/or groin (Psora/ Syphilis), and keratotic lichenoid follicular papules (Psora/ Sycosis/ Syphilis). The clinical, histological and IMF overlap between this syndrome and LP with follicular involvement (lichen planopilaris) suggest that both are variants of LP. Progressive frontal fibrosing alopecia is a clinically distinct variant of lichen planopilaris and is certainly associated with mucocutaneous lichen planus. (Psora/ Sycosis/ Syphilis) Types Lichen planopilaris may be of three types- Classic LPP It is also known as follicular lichen planus. Lichen planopilaris-Hyperpigmented follicular ‘plugged’ lesions in frontal scalp hairline FRONTAL FIBROSING ALOPECIA It is characterized by characteristic gradual progressive alopecia (Psora/ Syphilis) and scarring (Psora/ Sycosis) on the scalp near the forehead including eyebrows, eye lashes and/or other parts of the body in some cases. Frontal fibrosing alopecia LASSUEUR GRAHAM-LITTLE PICCARDI SYNDROME It is a triad of multifocal cicatricial alopecia (Psora/ Syphilis)

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    Lichen Planopilaris and Homoeopathy

    Uploaded by

    Dr. Rajneesh Kumar Sharma MD Hom
    381 views10 pages
    LICHEN PLANOPILARIS AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. Swati Vishnoi BHMS Dr. Preetika Lakhera BHMS Dr. Mohammad Tayyab Daud BHMS Dr. Mohammad Tayyab Amir BHMS Homoeo Cure Research Institute NH 74- Moradabad Road Kashipur (UTTARANCHAL) - INDIA Ph- 09897618594 E. mail- [email protected] www.treatmenthomeopathy.com www.homeopathyworldcommunity.com Contents Definition 1 Etymology 2 Epidemiology 2 Causes 2 Pathology 2 Types 3 Classic LPP 3 Frontal fibrosing alopecia 3 Lassueur Graham-Little Piccardi syndrome 4 Signs and Symptoms 4 Diagnosis 5 Differential Diagnosis 5 Treatment 5 Homoeopathic treatment 6 Common remedies for Lichen planopilaris 6 Short repertory of Lichen planopilaris 6 Bibliography 8 Definition Lichen planopilaris is a rare inflammatory condition of skin resulting in patchy progressive permanent hair loss primarily on the scalp. Although lichen planopilaris is rare, it is one of the common causes of scarring hair loss of the scalp. (Psora/ Sycosis/ Syphilis) Etymology Follicular lichen planus, Frontal fibrosing alopecia (subtype), Kossard disease, Lichen planopilaris classic type, LPP, Lichen planus follicularis, Lichen follicularis Epidemiology Lichen planopilaris usually affects young adult women, although the age range is wide and it also affects men. It commonly develops in association with lichen planus affecting the skin, mucosa and nails. Causes The exact cause of this disorder is unknown but it is assumed to be an autoimmune disorder. T-lymphocytes are known to be involved, however, the trigger is not yet known. The hair loses its protection from the immune system. The immune system then starts to attack the hair follicle. Its activating factors may include- • Pharmacologic agents (Causa occasionalis) • Contact sensitizers (Causa occasionalis) • Infectious agents (Psora/ Syphilis/ Causa occasionalis) Pathology Lichen planopilaris affects hairy areas of skin. It is an example of a primary lymphocytic folliculitis. Lichen planopilaris destroys the hair follicle and then replaces it with scarring. Histology reveals the following characteristic features- • Absence of errector pili muscles (Syphilis) • Absence of sebaceous glands (Syphilis) • Perivascular and perifollicular lymphocytic infiltrate in the reticular dermis (Syphilis/ Sycosis) • Mucinous perifollicular fibroplasia within the upper dermis with absence of interfollicular mucin (Syphilis/ Sycosis) • Superficial perifollicular wedge-shaped scarring (Psora/ Sycosis/ Syphilis) Follicular lesions occurring in the scalp are accompanied by some scaling and are likely to lead to a scarring alopecia (Psora/ Sycosis/ Syphilis). Very rarely, the scalp alone is involved. Graham Little–Piccardi–Lassueur syndrome comprises the triad of multifocal scalp cicatricial alopecia (Psora/ Sycosis/ Syphilis), non-scarring alopecia of the axillae and/or groin (Psora/ Syphilis), and keratotic lichenoid follicular papules (Psora/ Sycosis/ Syphilis). The clinical, histological and IMF overlap between this syndrome and LP with follicular involvement (lichen planopilaris) suggest that both are variants of LP. Progressive frontal fibrosing alopecia is a clinically distinct variant of lichen planopilaris and is certainly associated with mucocutaneous lichen planus. (Psora/ Sycosis/ Syphilis) Types Lichen planopilaris may be of three types- Classic LPP It is also known as follicular lichen planus. Lichen planopilaris-Hyperpigmented follicular ‘plugged’ lesions in frontal scalp hairline FRONTAL FIBROSING ALOPECIA It is characterized by characteristic gradual progressive alopecia (Psora/ Syphilis) and scarring (Psora/ Sycosis) on the scalp near the forehead including eyebrows, eye lashes and/or other parts of the body in some cases. Frontal fibrosing alopecia LASSUEUR GRAHAM-LITTLE PICCARDI SYNDROME It is a triad of multifocal cicatricial alopecia (Psora/ Syphilis)

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    LICHEN PLANOPILARIS AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. Swati Vishnoi BHMS Dr. Preetika Lakhera BHMS Dr. Mohammad Tayyab Daud BHMS Dr. Mohammad Tayyab Amir BHMS Homoeo Cure Research Institute NH 74- Moradabad Road Kashipur (UTTARANCHAL) - INDIA Ph- 09897618594 E. mail- [email protected] www.treatmenthomeopathy.com www.homeopathyworldcommunity.com Contents Definition 1 Etymology 2 Epidemiology 2 Causes 2 Pathology 2 Types 3 Classic LPP 3 Frontal fibrosing alopecia 3 Lassueur Graham-Little Piccardi syndrome 4 Signs and Symptoms 4 Diagnosis 5 Differential Diagnosis 5 Treatment 5 Homoeopathic treatment 6 Common remedies for Lichen planopilaris 6 Short repertory of Lichen planopilaris 6 Bibliography 8 Definition Lichen planopilaris is a rare inflammatory condition of skin resulting in patchy progressive permanent hair loss primarily on the scalp. Although lichen planopilaris is rare, it is one of the common causes of scarring hair loss of the scalp. (Psora/ Sycosis/ Syphilis) Etymology Follicular lichen planus, Frontal fibrosing alopecia (subtype), Kossard disease, Lichen planopilaris classic type, LPP, Lichen planus follicularis, Lichen follicularis Epidemiology Lichen planopilaris usually affects young adult women, although the age range is wide and it also affects men. It commonly develops in association with lichen planus affecting the skin, mucosa and nails. Causes The exact cause of this disorder is unknown but it is assumed to be an autoimmune disorder. T-lymphocytes are known to be involved, however, the trigger is not yet known. The hair loses its protection from the immune system. The immune system then starts to attack the hair follicle. Its activating factors may include- • Pharmacologic agents (Causa occasionalis) • Contact sensitizers (Causa occasionalis) • Infectious agents (Psora/ Syphilis/ Causa occasionalis) Pathology Lichen planopilaris affects hairy areas of skin. It is an example of a primary lymphocytic folliculitis. Lichen planopilaris destroys the hair follicle and then replaces it with scarring. Histology reveals the following characteristic features- • Absence of errector pili muscles (Syphilis) • Absence of sebaceous glands (Syphilis) • Perivascular and perifollicular lymphocytic infiltrate in the reticular dermis (Syphilis/ Sycosis) • Mucinous perifollicular fibroplasia within the upper dermis with absence of interfollicular mucin (Syphilis/ Sycosis) • Superficial perifollicular wedge-shaped scarring (Psora/ Sycosis/ Syphilis) Follicular lesions occurring in the scalp are accompanied by some scaling and are likely to lead to a scarring alopecia (Psora/ Sycosis/ Syphilis). Very rarely, the scalp alone is involved. Graham Little–Piccardi–Lassueur syndrome comprises the triad of multifocal scalp cicatricial alopecia (Psora/ Sycosis/ Syphilis), non-scarring alopecia of the axillae and/or groin (Psora/ Syphilis), and keratotic lichenoid follicular papules (Psora/ Sycosis/ Syphilis). The clinical, histological and IMF overlap between this syndrome and LP with follicular involvement (lichen planopilaris) suggest that both are variants of LP. Progressive frontal fibrosing alopecia is a clinically distinct variant of lichen planopilaris and is certainly associated with mucocutaneous lichen planus. (Psora/ Sycosis/ Syphilis) Types Lichen planopilaris may be of three types- Classic LPP It is also known as follicular lichen planus. Lichen planopilaris-Hyperpigmented follicular ‘plugged’ lesions in frontal scalp hairline FRONTAL FIBROSING ALOPECIA It is characterized by characteristic gradual progressive alopecia (Psora/ Syphilis) and scarring (Psora/ Sycosis) on the scalp near the forehead including eyebrows, eye lashes and/or other parts of the body in some cases. Frontal fibrosing alopecia LASSUEUR GRAHAM-LITTLE PICCARDI SYNDROME It is a triad of multifocal cicatricial alopecia (Psora/ Syphilis)

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    Lichen Planopilaris and Homoeopathy

    Uploaded by

    Dr. Rajneesh Kumar Sharma MD Hom
    LICHEN PLANOPILARIS AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. Swati Vishnoi BHMS Dr. Preetika Lakhera BHMS Dr. Mohammad Tayyab Daud BHMS Dr. Mohammad Tayyab Amir BHMS Homoeo Cure Research Institute NH 74- Moradabad Road Kashipur (UTTARANCHAL) - INDIA Ph- 09897618594 E. mail- [email protected] www.treatmenthomeopathy.com www.homeopathyworldcommunity.com Contents Definition 1 Etymology 2 Epidemiology 2 Causes 2 Pathology 2 Types 3 Classic LPP 3 Frontal fibrosing alopecia 3 Lassueur Graham-Little Piccardi syndrome 4 Signs and Symptoms 4 Diagnosis 5 Differential Diagnosis 5 Treatment 5 Homoeopathic treatment 6 Common remedies for Lichen planopilaris 6 Short repertory of Lichen planopilaris 6 Bibliography 8 Definition Lichen planopilaris is a rare inflammatory condition of skin resulting in patchy progressive permanent hair loss primarily on the scalp. Although lichen planopilaris is rare, it is one of the common causes of scarring hair loss of the scalp. (Psora/ Sycosis/ Syphilis) Etymology Follicular lichen planus, Frontal fibrosing alopecia (subtype), Kossard disease, Lichen planopilaris classic type, LPP, Lichen planus follicularis, Lichen follicularis Epidemiology Lichen planopilaris usually affects young adult women, although the age range is wide and it also affects men. It commonly develops in association with lichen planus affecting the skin, mucosa and nails. Causes The exact cause of this disorder is unknown but it is assumed to be an autoimmune disorder. T-lymphocytes are known to be involved, however, the trigger is not yet known. The hair loses its protection from the immune system. The immune system then starts to attack the hair follicle. Its activating factors may include- • Pharmacologic agents (Causa occasionalis) • Contact sensitizers (Causa occasionalis) • Infectious agents (Psora/ Syphilis/ Causa occasionalis) Pathology Lichen planopilaris affects hairy areas of skin. It is an example of a primary lymphocytic folliculitis. Lichen planopilaris destroys the hair follicle and then replaces it with scarring. Histology reveals the following characteristic features- • Absence of errector pili muscles (Syphilis) • Absence of sebaceous glands (Syphilis) • Perivascular and perifollicular lymphocytic infiltrate in the reticular dermis (Syphilis/ Sycosis) • Mucinous perifollicular fibroplasia within the upper dermis with absence of interfollicular mucin (Syphilis/ Sycosis) • Superficial perifollicular wedge-shaped scarring (Psora/ Sycosis/ Syphilis) Follicular lesions occurring in the scalp are accompanied by some scaling and are likely to lead to a scarring alopecia (Psora/ Sycosis/ Syphilis). Very rarely, the scalp alone is involved. Graham Little–Piccardi–Lassueur syndrome comprises the triad of multifocal scalp cicatricial alopecia (Psora/ Sycosis/ Syphilis), non-scarring alopecia of the axillae and/or groin (Psora/ Syphilis), and keratotic lichenoid follicular papules (Psora/ Sycosis/ Syphilis). The clinical, histological and IMF overlap between this syndrome and LP with follicular involvement (lichen planopilaris) suggest that both are variants of LP. Progressive frontal fibrosing alopecia is a clinically distinct variant of lichen planopilaris and is certainly associated with mucocutaneous lichen planus. (Psora/ Sycosis/ Syphilis) Types Lichen planopilaris may be of three types- Classic LPP It is also known as follicular lichen planus. Lichen planopilaris-Hyperpigmented follicular ‘plugged’ lesions in frontal scalp hairline FRONTAL FIBROSING ALOPECIA It is characterized by characteristic gradual progressive alopecia (Psora/ Syphilis) and scarring (Psora/ Sycosis) on the scalp near the forehead including eyebrows, eye lashes and/or other parts of the body in some cases. Frontal fibrosing alopecia LASSUEUR GRAHAM-LITTLE PICCARDI SYNDROME It is a triad of multifocal cicatricial alopecia (Psora/ Syphilis)

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    of 10

    DR.

    RAJNEESH KUMAR SHARMA MD


    (HOMOEOPATHY)
    DR. SWATI VISHNOI BHMS
    DR. PREETIKA LAKHERA BHMS
    DR. MOHAMMAD TAYYAB DAUD BHMS
    DR. MOHAMMAD TAYYAB AMIR BHMS

    LICHEN PLANOPILARIS
    AND
    HOMOEOPATHY

    Lichen planopilaris and Homoeopathy

    LICHEN
    PLANOPILARIS
    AND HOMOEOPATHY

    Dr. Rajneesh Kumar Sharma MD (Homoeopathy)


    Dr. Swati Vishnoi BHMS
    Dr. Preetika Lakhera BHMS
    Dr. Mohammad Tayyab Daud BHMS
    Dr. Mohammad Tayyab Amir BHMS
    Homoeo Cure Research Institute
    NH 74- Moradabad Road
    Kashipur (UTTARANCHAL) - INDIA
    Ph- 09897618594
    E. mail- [email protected]
    www.treatmenthomeopathy.com
    www.homeopathyworldcommunity.com

    Contents
    Definition............................................................................................................... 1
    Etymology.............................................................................................................. 2
    Epidemiology......................................................................................................... 2
    Causes................................................................................................................... 2
    Pathology............................................................................................................... 2
    Types..................................................................................................................... 3
    Classic LPP.......................................................................................................... 3
    Frontal fibrosing alopecia....................................................................................3
    Lassueur Graham-Little Piccardi syndrome.........................................................4
    Signs and Symptoms............................................................................................. 4
    Diagnosis............................................................................................................... 5
    Differential Diagnosis............................................................................................. 5
    Treatment.............................................................................................................. 5
    Homoeopathic treatment....................................................................................... 6
    Common remedies for Lichen planopilaris..........................................................6
    Short repertory of Lichen planopilaris.................................................................6
    Bibliography........................................................................................................... 8

    Definition
    Lichen planopilaris is a rare inflammatory condition of skin resulting in patchy
    progressive permanent hair loss primarily on the scalp. Although lichen
    planopilaris is rare, it is one of the common causes of scarring hair loss of the
    scalp. (Psora/ Sycosis/ Syphilis)

    Dr.1Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    Etymology
    Follicular lichen planus, Frontal fibrosing alopecia (subtype), Kossard disease,
    Lichen planopilaris classic type, LPP, Lichen planus follicularis, Lichen follicularis

    Epidemiology
    Lichen planopilaris usually affects young adult women, although the age range is
    wide and it also affects men. It commonly develops in association with lichen
    planus affecting the skin, mucosa and nails.

    Causes
    The exact cause of this disorder is unknown but it is assumed to be an
    autoimmune disorder. T-lymphocytes are known to be involved, however, the
    trigger is not yet known. The hair loses its protection from the immune system.
    The immune system then starts to attack the hair follicle. Its activating factors
    may include

    Pharmacologic agents (Causa occasionalis)


    Contact sensitizers (Causa occasionalis)
    Infectious agents (Psora/ Syphilis/ Causa occasionalis)

    Pathology
    Lichen planopilaris affects hairy areas of skin. It is an example of a primary
    lymphocytic folliculitis. Lichen planopilaris destroys the hair follicle and then
    replaces it with scarring. Histology reveals the following characteristic features

    Absence of errector pili muscles (Syphilis)


    Absence of sebaceous glands (Syphilis)
    Perivascular and perifollicular lymphocytic infiltrate in the reticular dermis
    (Syphilis/ Sycosis)
    Mucinous perifollicular fibroplasia within the upper dermis with absence of
    interfollicular mucin (Syphilis/ Sycosis)
    Superficial perifollicular wedge-shaped scarring (Psora/ Sycosis/ Syphilis)

    Dr.2Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    Follicular lesions occurring in the scalp are accompanied by some scaling and are
    likely to lead to a scarring alopecia (Psora/ Sycosis/ Syphilis). Very rarely, the
    scalp alone is involved.
    Graham LittlePiccardiLassueur syndrome comprises the triad of multifocal
    scalp cicatricial alopecia (Psora/ Sycosis/ Syphilis), non-scarring alopecia of the
    axillae and/or groin (Psora/ Syphilis), and keratotic lichenoid follicular papules
    (Psora/ Sycosis/ Syphilis). The clinical, histological and IMF overlap between this
    syndrome and LP with follicular involvement (lichen planopilaris) suggest that
    both are variants of LP.
    Progressive frontal fibrosing alopecia is a clinically distinct variant of lichen
    planopilaris and is certainly associated with mucocutaneous lichen planus.
    (Psora/ Sycosis/ Syphilis)

    Types
    Lichen planopilaris may be of three types-

    Classic LPP
    It is also known as follicular lichen planus.

    Lichen planopilaris-Hyperpigmented follicular plugged lesions in frontal scalp hairline

    FRONTAL FIBROSING ALOPECIA


    It is characterized by characteristic gradual progressive alopecia (Psora/ Syphilis)
    and scarring (Psora/ Sycosis) on the scalp near the forehead including eyebrows,
    eye lashes and/or other parts of the body in some cases.

    Frontal fibrosing alopecia


    Dr.3Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    LASSUEUR GRAHAM-LITTLE PICCARDI SYNDROME


    It is a triad of multifocal cicatricial alopecia (Psora/ Syphilis) of the scalp,
    noncicatricial alopecia of the axilla and groin and a follicular lichen planus
    eruption (Psora/ Sycosis) on the body, scalp, or both.
    Tiny red papules (Psora) appear around a cluster of hairs. Rarely, blistering
    (Psora) occurs in the lesions. The disease affects mostly the hair follicles,
    although lesions may also be found on the skin and mucous membranes. Its
    common signs and symptoms are increased hair shedding (Psora), itching
    (Psora), scaling (Psora/ Sycosis), burning (Psora), and tenderness (Psora). Hair
    loss may be permanent if the disease causes permanent scarring as cicatricial
    alopecia. (Psora/ Sycosis/ Syphilis)

    Signs and Symptoms


    Lichen planopilaris typically presents as smooth white patches of scalp hair loss
    (Psora/ Syphilis). No hair follicle openings can be seen in the areas of hair loss
    (Syphilis). At the edges of these patches there may be scale and redness around
    each hair follicle (Psora/ Sycosis). Hair can be easily pulled out. As it is multifocal,
    small patches may merge to form larger irregular areas. Lichen planopilaris is
    usually slowly progressive. Diffuse hair loss is uncommon. Common sites of
    involvement are the sides, front and lower back of the scalp. Symptoms are often
    absent but they may include

    Itching (Psora)
    Dr.4Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    Pain (Psora)
    Tenderness (Psora)
    Discomfort (Psora)
    Burning (Psora)
    Alopecia (Psora/ Syphilis)
    Hyperkeratosis (Sycosis)
    Lichenification (Sycosis)
    Abnormality of the fingernails (Psora/ Sycosis/ Syphilis)
    Aplasia/Hypoplasia of the skin (Psora/ Syphilis)
    Skin ulcer (Syphilis)
    Abnormal blistering of the skin (Psora)
    Abnormality of the intestine (Psora)
    Abnormality of the liver (Psora)
    Hypopigmented skin patches (Psora/ Syphilis)
    Neoplasm of the oral cavity (Psora/ Sycosis/ Syphilis)
    Onycholysis (Syphilis)
    Pterygium (Psora/ Sycosis)
    Vaginal neoplasm (Psora/ Sycosis/ Syphilis)

    Diagnosis
    Lichen planopilaris is suspected on the keen clinical examination of the mouth,
    nails and skin for evidence of lichen planus elsewhere.
    Trichoscopy reveals absent follicles, white dots, tubular perifollicular scale and
    perifollicular erythema. The diagnosis may be confirmed on a scalp biopsy that
    includes hairs with surrounding redness and scale at the edge of an area of hair
    loss.

    Differential Diagnosis
    Follicular LP must be distinguished by biopsy from

    Keratosis pilaris
    Dariers disease
    Follicular mucinosis
    Lichen scrofulosorum
    Lupus erythematosus

    Treatment
    Treatment is required early as no treatment recovers hairs that have been lost
    and replaced by scarring. The objective of treatment is to slow progression of the
    disease and relieve symptoms. Hair loss may continue, but at a slower rate.
    Response to treatment is variable.
    Since this is a constitutional disorder rather than a local one, holistic treatment is
    the only option to cure it by roots.

    Dr.5Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    Surgery such as scalp reduction and hair transplantation has been used for end
    stage disease with large areas of scarring, but is not always successful.

    Homoeopathic treatment
    From overall study of Lichen planopilaris, it becomes clear that it is not simply a
    disorder of local factors, but whole genetics and constitutional disharmony is
    there. The person as a whole is affected by the factors causing LPP; and later on,
    by the effects of established disease in that individual, physically as well as
    mentally. Thus, whole person needs treatment rather than a local dermal system.
    Well selected constitutional remedy almost
    permanently if applied as per laws of similia.

    always

    cures

    the

    condition

    Common remedies for Lichen planopilaris


    acetan. acon-ac. Acon. aeth. Agar. agn. ail. allox. aloe alum-p. alum-sil. Alum.
    Am-c. am-m. ambr. Anac. anag. Anan. ang. ANT-C. Ant-t. anthraci. anthraco. Apis
    aran. arg-met. Arg-n. Arn. ars-h. Ars-i. ars-s-f. ARS. arum-d. arum-t. Asaf. asim.
    aster. aur-ar. aur-m-n. aur-m. Aur. bac. bad. bamb-a. bar-c. Bar-m. bar-s. BELL.
    benz-ac. berb. beryl. borx. bov. brom. Bry. bufo cadm-s. Calad. calc-n. Calc-p.
    Calc-s. calc-sil. Calc. Canth. caps. carb-ac. Carb-an. Carb-v. Carbn-s. carc. carl.
    castn-v. caul. CAUST. Cham. chel. chin. chinin-ar. chinin-s. chir-fl. chlf. Chlol.
    chord-umb. Cic. cimic. cina Cist. CLEM. coc-c. Cocc. cod. colch. coli. Com. Con.
    Cop. cor-r. cortiso. crot-h. Crot-t. cub. cund. cupr. CUR. cycl. dig. dros. Dulc. eug.
    euph-l. euph. euphr. fago. falco-pe. ferr-ar. ferr-i. ferr. fl-ac. fuli. galeoc-c-h. Gamb.
    gast. gels. gink-b. goss. granit-m. GRAPH. Grin. guaj. guare. hell. helodr-cal. Hep.
    hippoc-k. hippoz. hydr-ac. hydr. Hydrc. Hyos. hyper. Ign. ina-i. indg. Iod. iodof. ip.
    Iris jab. Jug-c. Jug-r. Kali-act. Kali-ar. Kali-bi. Kali-br. KALI-C. kali-chl. KALI-I. kali-m.
    kali-n. kali-p. Kali-s. kali-sil. kalm. kerose. ketogl-ac. Kreos. lac-d. lac-e. LACH.
    lachn. lat-m. Laur. Led. lipp. Lith-c. loxo-lae. loxo-recl. LUNA LYC. m-ambo. m-arct.
    m-aust. Mag-c. mag-m. mang. meny. meph. Merc-c. merc-i-r. MERC. MEZ. moni.
    morb. morg-p. morg. mosch. Mur-ac. musa myos-a. myric. nabal. narc-ps. nat-ar.
    Nat-c. nat-f. nat-hsulo. NAT-M. Nat-p. Nat-s. NIT-AC. NUX-V. Olnd. op. ox-ac. ozone
    pall. Par. petr-ra. Petr. PH-AC. PHOS. Phyt. pic-ac. pieri-b. pip-n. pitu-gl. pix plac-s.
    Plan. Plb. positr. pot-e. PSOR. PULS. querc-r. Ran-b. ran-s. rat. rhus-g. RHUS-T.
    Rumx. ruta sabad. sabin. sacch-a. Sars. sec. Sel. Seneg. SEP. Sil. sinus. Spect.
    spig. spong. Squil. stann. STAPH. Stram. stront-c. suis-hep. SUL-AC. sul-i. sulfa.
    sulfon. SULPH. Syph. tab. tarax. tarent. tell. tere-la. teucr. thiop. Thuj. Til. toxi.
    toxo-g. trios. tritic-vg. trom. tub-m. tub. Urin. Vac. valer. vanil. verat. verb. vero-o.
    vinc. Viol-t. vip. x-ray zinc-p. ZINC.

    Short repertory of Lichen planopilaris


    CHEST - ERUPTIONS - pimples - red - lichen simplex; like ant-t.
    FEMALE GENITALIA/SEX - ERUPTIONS - Vagina; in lichen moni.
    FEMALE GENITALIA/SEX - KRAUROSIS VULVAE moni.
    MOUTH - ULCERS - Cheeks - Inside - lichen planus borx. fl-ac. merc. nit-ac.
    SKIN - DISCOLORATION - brown - liver spots am-c. am-m. Ant-c. ant-t. Arg-n. arn.
    ars-i. ars-s-f. Ars. aur-ar. Aur. bad. borx. bry. cadm-s. calc-p. calc-s. calc-sil. calc.

    Dr.6Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    canth. Carb-v. Carbn-s. carc. caul. caust. chel. Con. cop. cor-r. crot-h. CUR. dros.
    Dulc. ferr-ar. ferr-i. ferr. graph. Hyos. Iod. kali-ar. kali-bi. kali-c. kali-p. kali-s. kalisil. LACH. Laur. led. LYC. Merc-c. merc-i-r. MERC. Mez. moni. musa nat-ar. Nat-c.
    nat-hsulo. nat-m. nat-p. NIT-AC. Nux-v. ozone petr. Phos. Plb. psor. puls. ruta
    sabad. SEP. sil. stann. sul-ac. sul-i. SULPH. tarent. Thuj. trios. Tub.
    SKIN - DISCOLORATION - spots - dark spots - old people; in ars. aur. bar-c. Carban. Con. Lach. Lyc. op. Sec.
    SKIN - ERUPTIONS flat Am-c. ang. ant-c. ant-t. Ars. Asaf. BELL. carb-an. euph.
    LACH. Lyc. merc. Nat-c. nit-ac. petr. Ph-ac. phos. puls. Ran-b. Sel. Sep. Sil. staph.
    sulph. thuj.
    SKIN - ERUPTIONS - itching - warm - bed - agg. aeth. Alum. anac. ant-c. caust.
    Clem. cocc. Kali-act. kreos. mag-m. merc. mur-ac. PSOR. Puls. Rhus-t. sars. staph.
    SULPH. Til. verat.
    SKIN - ERUPTIONS itching acon. aeth. Agar. agn. allox. alum-p. alum-sil. Alum.
    Am-c. am-m. ambr. Anac. anag. Ant-c. Ant-t. anthraci. Apis arg-met. Arn. Ars-i.
    ars-s-f. ARS. asaf. aur-m-n. bamb-a. bar-c. bar-s. bell. borx. bov. Bry. bufo Calad.
    Calc-p. Calc-s. calc-sil. Calc. Canth. caps. carb-an. carb-v. carbn-s. carl. CAUST.
    Cham. chel. chinin-s. cic. cimic. cina CLEM. cocc. cod. colch. Com. con. Cop.
    cortiso. Crot-t. cupr. dig. dros. dulc. fago. ferr. fl-ac. fuli. gast. gink-b. goss.
    GRAPH. guaj. guare. Hep. hippoc-k. Ign. iod. ip. iris Jug-c. Jug-r. Kali-ar. kali-bi.
    kali-br. Kali-c. Kali-i. kali-n. kali-p. Kali-s. kali-sil. kalm. Kreos. lac-d. lac-e. Lach.
    lat-m. laur. Led. Lyc. m-ambo. m-arct. m-aust. mag-c. mag-m. mang. Merc. MEZ.
    morg-p. morg. myos-a. nat-ar. nat-c. nat-f. NAT-M. NIT-AC. NUX-V. Olnd. ox-ac. Par.
    Petr. ph-ac. Phos. Phyt. pic-ac. pitu-gl. pix plac-s. plb. positr. pot-e. Psor. Puls.
    Ran-b. ran-s. RHUS-T. ruta sabad. sabin. sacch-a. Sars. Sel. SEP. Sil. Spect. spig.
    spong. Squil. stann. STAPH. stram. stront-c. sul-ac. SULPH. tarax. tarent. teucr.
    thuj. til. tritic-vg. tub-m. Vac. valer. verat. vero-o. vinc. Viol-t. zinc-p. zinc.
    SKIN - ERUPTIONS lichen acon. agar. alum. am-m. Anan. Ant-c. anthraco. Apis
    Ars-i. Ars. Bell. bov. bry. Calad. castn-v. Cic. cocc. dulc. jug-c. kali-ar. Kreos. Led.
    Lyc. mang. merc. mur-ac. nabal. nat-c. nat-m. phyt. Plan. Rumx. sep. sul-i. Sulph.
    til.
    SKIN - ERUPTIONS - lichen planus agar. anac. Ant-c. apis Ars-i. Ars. chinin-ar. iod.
    Jug-c. Kali-bi. kali-i. led. merc. sars. staph. sul-i. sulph. syph.
    SKIN - ERUPTIONS patches acon-ac. agar. ail. apis ars. berb. Calc. Carb-v. coli.
    Graph. ina-i. Iris jug-c. Kali-bi. Kali-c. Lith-c. mang. petr. phos. pot-e. Puls. Sars.
    sec. Sep. sinus. thuj. tritic-vg. Viol-t.
    SKIN - ERUPTIONS pimples acetan. Acon. Agar. aloe alum-p. alum. am-c. am-m.
    ambr. anac. ANT-C. Ant-t. aran. arg-met. arg-n. arn. ars-h. ars-i. ARS. arum-d.
    arum-t. aster. aur-ar. aur-m. Aur. bar-c. Bar-m. bar-s. Bell. benz-ac. berb. borx.
    bov. brom. Bry. bufo Calad. Calc-p. Calc-s. calc-sil. calc. Canth. caps. carb-ac.
    Carb-an. carb-v. Carbn-s. CAUST. Cham. chel. chin. chinin-ar. chlf. chlol. chordumb. cimic. cina Cist. clem. coc-c. Cocc. coli. Con. cop. crot-h. crot-t. cub. cund.
    cupr. cycl. dig. dros. Dulc. eug. euph-l. euphr. falco-pe. Fl-ac. Gamb. gels. gink-b.
    granit-m. Graph. guaj. hell. helodr-cal. Hep. hippoc-k. hydr-ac. hydr. hyos. hyper.
    ina-i. indg. iod. iodof. jab. Kali-ar. kali-bi. kali-br. Kali-c. kali-chl. kali-m. kali-n. kalip. kali-s. Kreos. lac-e. Lach. lachn. Led. LUNA Lyc. m-ambo. mag-c. mag-m. mang.
    Dr.7Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    meny. meph. Merc-c. MERC. Mez. mosch. Mur-ac. myric. nat-ar. Nat-c. NAT-M. Natp. Nat-s. NIT-AC. Nux-v. op. pall. par. petr. PH-AC. PHOS. pieri-b. pip-n. pix plb.
    psor. PULS. querc-r. rat. rhus-g. RHUS-T. ruta sabad. sabin. Sars. sel. Seneg. SEP.
    Sil. spig. Spong. Squil. stann. Staph. stram. stront-c. suis-hep. sul-ac. sul-i. sulfon.
    SULPH. tab. tarax. tarent. tell. Thuj. Til. toxi. tritic-vg. trom. Urin. vac. valer. vanil.
    verat. viol-t. ZINC.
    SKIN - ERUPTIONS popular Acon. allox. anthraco. aur. bac. beryl. Bry. Calc. caps.
    Caust. cham. cycl. Dulc. galeoc-c-h. gels. Grin. hippoz. Hydrc. Iod. Kali-bi. Kali-c.
    KALI-I. kali-s. kerose. lat-m. loxo-lae. loxo-recl. lyc. Merc. morb. narc-ps. nat-f.
    petr-ra. Petr. phos. pic-ac. psor. Sep. sil. suis-hep. sulfa. Sulph. Syph. tere-la.
    thiop. toxo-g. x-ray zinc.
    SKIN - ERUPTIONS red acon. Agar. AM-C. anac. Anan. ant-c. ant-t. apis Arn. Ars.
    asim. aur-ar. aur. bell. berb. bry. calad. calc-n. Calc. caust. cham. chel. chinin-s.
    chir-fl. Chlol. cic. cina Clem. cocc. Com. con. cop. crot-t. cycl. Dulc. fl-ac. goss.
    Graph. ina-i. Kali-bi. KALI-C. kali-s. ketogl-ac. lach. Led. lipp. lyc. m-ambo. Mag-c.
    MERC. Mez. Nit-ac. op. ox-ac. petr. ph-ac. PHOS. plb. psor. ran-b. Rhus-t. sabad.
    sars. sep. sil. spig. squil. staph. Stram. SUL-AC. SULPH. tab. thuj. til. tritic-vg. tub.
    valer. vanil. verat. verb. vero-o. vip.
    SKIN - ERUPTIONS - tubercles umbilicated Kali-bi. Kali-br.

    Bibliography
    Chapter 30. Commonly Encountered Genital Dermatoses > Lichen Planus
    CURRENT Diagnosis & Treatment of Sexually Transmitted Diseases

    Chapter 88. Hair Growth Disorders > Lichen Planopilaris Fitzpatrick's


    Dermatology in General Medicine, 8e... LPP is a follicular variant of lichen planus.
    Together with DLE, this is the most common cause of primary cicatricial alopecia.
    LPP can be divided in classic LPP, frontal fibrosing alopecia (FFA), and Graham
    Little syndrome. The typical age of onset of classic LPP is around the fifth
    decade...

    Dermatologic Disorders > LICHEN PLANUS Current Medical Diagnosis &


    Treatment 2017

    Disorders of Hair Follicles and Related Disorders > Lichen Planopilaris (LPP)
    Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 7e... Figure 31-16.
    Scarring alopecia of scalp: pseudopelade of Brocq caused by lichen planus The
    scalp is smooth, shiny, devoid of hair and hair follicles in many areas; some of
    the remaining follicles are inflamed with perifollicular erythema and scale.
    Several hairs are seen emerging from...

    Dr.8Rajneesh Kumar Sharma MD (Homoeopathy)

    Lichen planopilaris and Homoeopathy

    Eczema, Psoriasis, Cutaneous Infections, Acne, and Other Common Skin


    Disorders > LICHEN PLANUS Harrison's Principles of Internal Medicine ... inhibitor
    Oral Twice daily Renal dysfunction, hypertension, hyperkalemia, hyperuricemia,
    hypomagnesemia, hyperlipidemia, increased risk of malignancies FIGURE 71-5
    Lichen planus . An example of lichen planus showing multiple flat-topped,
    violaceous papules and plaques. Nail dystrophy...
    Encyclopedia Homoeopathica

    Radar 10

    Skin Disorders: Trunk > LICHEN PLANUS Tintinallis Emergency Medicine: A


    Comprehensive Study Guide, 8e ... Lichenoid drug eruptions can be identical to
    lichen planus, except they tend to be more generalized and photodistributed and
    there is a history of drug ingestion. The latent period can be months to years,
    with an average of 12 months, and it may take years to resolve after
    withdrawal...

    The Skin and Nails > Lichen planus DeGowins Diagnostic Examination,
    10e... Purple, flat-topped, sharply demarcated pruritic papules appear on the
    wrists, ankles, eyelids, and shins. Other forms exist, including hypertrophic and
    bullous lichen planus. Mucous membrane involvement is common, appearing as
    white linear lesions in the mouth or genital mucosa ( Wickham...

    Dr.9Rajneesh Kumar Sharma MD (Homoeopathy)

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