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Living with Lichen planopilaris

An inflammatory condition of the scalp and hair that can cause itching, redness, and scarring hair loss.

Understanding Lichen planopilaris

Lichen planopilaris (LPP) is an inflammatory condition affecting the scalp and hair, and it is a form of lichen planus.

Signs include scaly, red skin around hair follicles, bald patches, and pain, burning, or itching on the scalp. It can cause scarring that leads to permanent hair loss. It usually begins in adulthood. There are three forms that differ by pattern and location.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hair loss (alopecia)
  • Itching
  • Redness and scaly skin around hair follicles
  • Small red bumps (papules)
  • Pain or burning on the scalp
  • Nail changes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association may keep lists of experts for this condition.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Autoimmune Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which form of LPP do I have?
How can I slow scarring and protect my remaining hair?
Should a skin biopsy be repeated to track my condition?

Quick facts

Symptoms usually startAdult

The cause is unknown. GARD says it is thought to be an autoimmune disorder of the hair follicles.

Skin

Also known as: follicular lichen planus; lichen follicularis; lichen planus follicularis; lpp

Patient organizations

Source: NIH GARD · Lichen planopilarisGARD ID 3247 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Lichen planopilaris.

Explore the Lichen planopilaris blog

Explore research for Lichen planopilaris

Explore actively recruiting Lichen planopilaris studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lichen planopilaris with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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