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Case Reports
. 2018 Jan 10;6(1):96-98.
doi: 10.3889/oamjms.2018.029. eCollection 2018 Jan 25.

Ulcerating Lichen Planopilaris - Successful Treatment by Surgery

Uwe Wollina  1 , Birgit Heinig  2 , André Koch  3 , Andreas Nowak  4 , Georgi Tchernev  5   6 , Katlein França  7 , Torello Lotti  8
Affiliations
Case Reports

Ulcerating Lichen Planopilaris - Successful Treatment by Surgery

Uwe Wollina et al. Open Access Maced J Med Sci. .

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 - a hitherto unreported clinical feature. The patient was treated surgically, and the defect could be closed by combined tissue advancement and extension.

Keywords: Combined tissue advancement and extension; Lichen planopilaris; Lichen planus; Scalp ulceration; Surgery.

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Figures

Figure 1
Figure 1
Frontal scalp ulceration within patches of scarring alopecia
Figure 2
Figure 2
Surgical situs after complete excision of the ulcer
Figure 3
Figure 3
Defect closure by tissue advancement combined with bilateral extension
See this image and copyright information in PMC

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