Pearls in the Management of Lichen Planopilaris, Frontal Fibrosing Alopecia, and Central Centrifugal Cicatricial Alopecia

In a presentation on effective management strategies for Lichen Planopilaris (LPP), Frontal Fibrosing Alopecia (FFA), and Central Centrifugal Cicatricial Alopecia (CCCA), Dr. Marian Senna shared valuable insights from her extensive experience treating hair loss patients, particularly those with scarring alopecia. She emphasized the importance of tracking clinical features such as inflammation and symptoms throughout treatment, advocating for meticulous note-taking and measurement to assess patient progress. Visual documentation through consistent photography was highlighted as crucial for helping patients visually understand their conditions and treatment efficacy. Dr. Senna discussed treatment protocols, including the cautious use of topical and intralesional steroids to avoid complications like scalp atrophy, and underlined the significance of avoiding potentially harmful ingredients in personal care products. Lab evaluations, including checks on ferritin and blood glucose levels, are critical to identifying underlying issues that impact treatment responses. She detailed various therapeutic options, from topicals like hydroxychloroquine and gabapentin for itch relief to advanced interventions like oral tofacitinib for severe cases, noting the necessity for a tailored approach for each individual. The session concluded with an emphasis on patient education regarding allergens and product ingredients, with references to supportive resources such as the Scarring Alopecia Foundation for ongoing patient engagement.