Ulcerating Lichen Planopilaris â€“ Successful Treatment by Surgery

Uwe Wollina; Birgit Heinig; AndrÃ© Koch; Andreas Nowak; Georgi Tchernev; Katlein FranÃ§a; Torello Lotti

doi:10.3889/oamjms.2018.029

Authors

Uwe Wollina StÃ¤dtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden, Sachsen
Birgit Heinig StÃ¤dtisches Klinikum Dresden - Center of Physical and Rehabilitative Medicine, Dresden
AndrÃ© Koch StÃ¤dtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden
Andreas Nowak Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany - Department of Anesthesiology & Intensive Care Medicine, Emergency Medicine & Pain Management, Dresden
Georgi Tchernev Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia; Onkoderma, Policlinic for Dermatology and Dermatologic Surgery, Sofia
Katlein FranÃ§a Department of Dermatology and Cutaneous Surgery, Department of Psychiatry & Behavioral Sciences; Institute for Bioethics and Health Policy, University of Miami Miller School of Medicine, Miami, FL
Torello Lotti University of Rome G. Marconi, Institute of Dermatology, Rome 00186

DOI:

https://doi.org/10.3889/oamjms.2018.029

Keywords:

Lichen planus, Lichen planopilaris, Scalp ulceration, Surgery, Combined tissue advancement and extension

Abstract

Lichen planus is a T-cell mediated autoimmune disorder affecting the skin and mucous membranes. Ulcerating lichen planus is uncommon mostly on oral and genital mucosa but not skin. Lichen planopilaris, however, is a subtype of lichen planus affection hair follicles and leading to permanent scarring alopecia. We report a case of lichen planopilaris of the scalp with multiple alopecic patches ulceration â€“ a hitherto unreported clinical feature. The patient was treated surgically, and the defect could be closed by combined tissue advancement and extension.

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