Treatment for LPP poses a challenge for dermatologists. While several treatments are available and have indeed demonstrated clinical value, varying levels of patient improvement with these regimens suggests that the treatment algorithm for LPP is still largely undetermined.3
We describe a case of LPP in an African American adolescent treated with pioglitazone, accompanied by a literature review of published LPP cases in the pediatric population.
Physical exam revealed perifollicular plugging and erythema of the lateral eyebrows and posterior vertex scalp along with scarring of the anterior vertex scalp evidenced by absence of follicular ostia (Figure 1). Biopsy was deferred as physical exam and dermoscopy findings were consistent with LPP. He was initiated on clobetasol 0.05% foam daily to involved areas of the scalp, tacrolimus 0.1% ointment daily to the brows and face, and doxycycline monohydrate 100 mg twice daily. In addition, he received intralesional Kenalog (ILK) injections to the affected scalp and eyebrows.