Graham – Little Syndrome

 

Symptoms and Causes

This is a rare condition which presents with a combination of lichen planopilaris of the scalp, lichen planopilaris of the body, and non-scarring hair loss in the axillary or pubic regions.  These can present simulataneously or over a period of several months.

     
 
Diagnosis & Treatments

The diagnosis is achieved with scalp biopsy, usually taken from multiple locations as indicated.  Treatment involves use of topical steroids, oral anti-inflammatory medications such as doxycycline, and oral hydroxychloroquine. Other more advanced therapies as used to treat lichen planopilaris can be introduced as necessary.

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