What should you know about lichen planopilaris scalp?

The condition develops around hair follicles. Early signs can include clusters of hairs with surrounding scale, redness at the follicle openings, burning, itch, or tenderness. As inflammation continues, hair density may fall and affected skin can look smoother or shinier because scar tissue has formed. The scalp may have more than one pattern, and symptoms can vary from one area to another. A close examination helps identify active borders and distinguish LPP from infection, psoriasis, alopecia areata, or other scalp disorders.

Use gentle cleansing and avoid scratching, tight headwear, extensions, braids, heat, and chemical treatments when the scalp is sore. Marking symptom changes with dated photographs can make subtle spread easier to discuss. A dermatologist may recommend anti-inflammatory care; possible approaches include [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/) or [Oral Corticosteroid Treatment](/treatments/medical-dermatology/oral-corticosteroid-therapy/), selected after examination. Do not apply leftover prescription medicine or strong home mixtures without advice.

Arrange review when thinning expands, pain or itch increases, or scale and redness persist. Seek urgent help for pus, fever, rapidly spreading warmth or redness, sudden swelling, or severe pain. Those features may indicate infection or another problem alongside the hair loss.

Ask which areas look active, whether follicle openings are preserved, and whether a biopsy or other examination is needed. Find out how to wash and style your hair during treatment, what side effects matter, and when to return.