Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
176 Doctors are Online

How to treat lichen planopilaris(scalp and nails)?

User rating for this question
Very Good
Answered by

Practicing since : 2010
Answered : 5784 Questions
I have lichen planipilaris (scalp and nails) and I'm losing my hair because the is causing scarring alopecia. I am also getting diffuse itching and redness and itching in the vaginal area so i assume i have lichen planus of that area too. I am on prednisone (tapering off, currently at 20mg), cellcept and just started doxycycline to help with inflammation as I taper the steroids. I am doing an alkaline first, no gluten, dairy, chemicals or sugar. I am meditating ad journaling got stress. I sm also doinv oil pulling with coconut oil yobremove toxins. it doesn't seem to be working. Suggestions? I would love to get this into remission ASAP.
Posted Mon, 13 Jan 2014 in Skin Hair and Nails
Answered by Dr. Rahul Kumar 39 minutes later
Brief Answer: Details below Detailed Answer: Hello Thanks for the query. You are suffering from an autoimmune disorder. Yes the vaginal area is also getting involved with lichen planus. You need treatment with oral steroids or immuno suppressants. As you are on tapering dose of steroid, so it will be better to start with tablet azathioprine. You can continue with doxycycline for few months but it cannot be continued very long. Please meet your treating doctor and ask him to start you on Tablet azathioprine. Let me know if you have any other doubts. Thank you
Above answer was peer-reviewed by
Follow-up: How to treat lichen planopilaris(scalp and nails)? 12 hours later
Thank you. i just read about the medinicine you recommended and it sounds the same as Cellcept, which I'm currently on. I see my Rheumstologist tomorrow but would love to hear from you first, to understand if there's a reason I should request that instead of Cellcept? I saw my gynecologist today and she doesn't think it's affecting that area or if it is, its cery mild or early stages. The Lichen Planipilaris on my scalp is proving troublesome however.
Answered by Dr. Rahul Kumar 5 hours later
Brief Answer: Details below Detailed Answer: Hello Thanks for the follow up. cellcept is mycophenolate mofetil. It is also an immuno supprasant but has side effects. It is better to take azathioprine as it is safe. Please meet your doctor and discuss regarding this. Let me know if you have any other doubts. Thank you
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor