Lichen Planopilaris (Scarring Alopecia of Scalp)
What is Lichen Planopilaris (Scarring Alopecia of Scalp)
Lichen planopilaris (LPP) is a rare inflammatory condition of the scalp that affects the hair follicles, leading to permanent hair loss in patches. It is considered a scarring alopecia, meaning the hair follicles are destroyed and replaced with scar tissue if untreated.
Causes / Risk Factors
- Autoimmune reaction targeting hair follicles
- Genetic predisposition
- Triggers: stress, hormonal imbalance, or chronic inflammation
- Often associated with lichen planus affecting skin or mucous membranes
Symptoms
- Gradual patchy hair loss on scalp
- Redness, scaling, and inflammation around hair follicles
- Itching, burning, or tenderness in affected areas
- White or grayish discoloration on inflamed patches
- Follicles may appear shrunken or destroyed
- In severe cases, hair loss becomes permanent due to scarring
Conventional Management:
- Topical corticosteroids to reduce inflammation
- Oral steroids or immunosuppressants for active inflammation
- Minoxidil for hair regrowth in unaffected follicles
- Avoidance of triggers and scalp trauma
Homeopathic Perspective
In homeopathy, LPP is treated holistically, focusing on:
- Controlling inflammation and autoimmune response naturally
- Reducing itching, burning, and redness
- Slowing or preventing progressive hair loss
- Supporting scalp tissue regeneration where possible
- Enhancing overall immunity and constitutional health
Common Homeopathic Medicines:
- Thuja Occidentalis – Chronic scarring alopecia, patchy hair loss, inflammation of follicles.
- Phosphorus – Scalp sensitive, hair thinning, burning sensation, easily irritated skin.
- Fluoric Acid (Fluoricum Acidum) – Progressive hair loss, follicle destruction, scalp thinning.
- Kali Bichromicum – Scaly, crusted patches, follicular involvement, stubborn lesions.
- Sepia – Hair loss with hormonal imbalance, thinning, scalp feels dry or irritated.
Precautions & Lifestyle
- Avoid scratching or trauma to affected areas
- Use mild, chemical-free shampoos
- Maintain proper nutrition (rich in proteins, zinc, vitamins)
- Manage stress through yoga, meditation, or relaxation techniques
- Regular follow-up with homeopathic practitioner for constitutional treatment
- Avoid excessive hair styling or chemical treatments
Homeopathy can control progression of LPP, reduce inflammation, and improve scalp health. While scarring alopecia may not always reverse, homeopathic remedies prevent further hair loss and manage symptoms effectively.
