any cures for severe lichen planopilaris?

Answer 1

There is no known cure for LP but treatment is often effective in relieving itching and in improving the appearance of the rash until it goes away. Since every case of LP is different, no one treatment is perfect. The two most common treatments include the use of topical corticosteroid creams, ointments, or other anti-inflammatory drugs, and antihistamines taken by mouth. More severe cases of LP may require stronger medications such as cortisone taken internally or a specific form of ultraviolet light treatment called PUVA. Discuss any potential drug side effects with your dermatologist.

Answer 2

Lichen planopilaris should be treated as quickly as possible to avoid permanent hair loss. Treatment is individualized because severity of symptoms, extent of the lesions (papules), and response to treatment vary. If a drug or chemical is the suspected cause, the drug should be discontinued and the chemical avoided. Treatment may include the following:

Antihistamines to relieve moderate itching
Injectable triamcinolone acetonide to treat large, itchy lesions
Systemic corticosteroids (e.g., oral prednisone) for severe cases
Topical triamcinolone acetonide cream or another, more potent corticosteroid cream to relieve intense itching
Lichen planopilaris usually resolves without treatment, but can recur years later.