History:

Mildly pruritic red-violaceous patches (mainly perifollicular) of 6 months duration.  Some hair follicles are completely destructed (whitish scarred areas) others are still seen!  Some hair loss was due to androgenetic alopecia (unrelated to lichen planopilaris). No mucous membrane or nail involvement. The patient refused taking skin biopsy. The case was treated with  Clobetasol propionate 0.05% ointment applied once at night plus Tacrolimus 0.1% ointment applied once at morning plus  Hydroxychloroquine 200 mg twice daily orally. Follow up  2 months later showed decreasing intensity of the inflammation with some hairs regrowth.