Pediatric ocular lichen planus and lichen planopilaris: One new case and a review of the literature

Abstract

When lichen planus involves the scalp, it is known as lichen planopilaris, and when it involves the eye, it is known as ocular lichen planus; both are rare. Early detection and targeted therapy are crucial in preventing hair loss and scarring conjunctivitis. Little is known regarding appropriate treatment for lichen planopilaris. The objective of this case study is to present a new case of pediatric ocular lichen planus and lichen planopilaris and to identify all reported cases of pediatric lichen planopilaris, highlighting disease involvement, treatment, and response to treatment.

Lichen planus – a clinical guide

“…Nonetheless, complete scalp involvement is also possible [34]. Although it may manifests at every age, even in children [35–37], LPP mostly affects adult women (1.8 to 1 men‐women ratio) between 30 and 75 years [38, 39]. As for other LP forms, inducing factors are largely unknown.…”

Ocular lichen planus: An unusual presentation, its treatment, and review of the literature

“…[8][9][10][11] It may occur in the form of pruritic violaceous papules of the eyelids, but, as in our case, may only present as irritation of the eye lids (Table I), 10,12,13 (83%) affected individuals of the female gender, and 6 out of 23 (26%) had only ocular involvement of their LP. [14][15][16] Ocular LP can involve the eyelids (Table I), but can also involve the conjunctiva and lacrimal structures. Ocular LP can lead to irreversible damage to the surface of the eye and loss of vision.…”

“…Of the reported cases, 19 out of 23 (83%) affected individuals of the female gender, and 6 out of 23 (26%) had only ocular involvement of their LP. 14 , 15 , 16 …”

Ocular involvement and complications of lichen planus, lichen planus pigmentosus, and lichen planopilaris: A comprehensive review

“…Ocular manifestations include eyelash loss, and conjunctival and corneal scarring. 43 FFA with photophobia, red eyes, tearing, and eye pain. 43 Despite aggressive immunosuppressive therapy (IMT), the patient had significant vision loss due to extensive bilateral scarring.…”