18 Key Symptoms of Lichen Planus You Need to Recognize

14. Scarring on the Scalp

When lichen planus affects the scalp, it can lead to a rare but serious condition known as scarring alopecia or cicatricial alopecia. This occurs when chronic inflammation damages the hair follicles to the point where they can no longer produce hair. Early symptoms may include redness, scaling, or raised lesions on the scalp, often accompanied by tenderness or itching. As the condition progresses, patients might notice bald patches that expand over time, potentially leading to permanent hair loss in the affected areas. The emotional toll of visible scarring and hair loss can be significant, affecting self-esteem and social interactions. Dermatologists typically recommend aggressive early intervention to minimize damage, which may include topical corticosteroids, oral medications, or even immunosuppressive treatments. Scalp biopsies are often performed to confirm the diagnosis and guide treatment. In severe cases, patients may explore hair restoration options like transplants once the condition has been stabilized.