6 Scalp Conditions Indians Mistake for Dandruff

December 22, 2025

5. Lichen Planopilaris: The Scarring Enigma

Woman in white attire combs her hair while seated on a bed with soft lighting. Photo Credit: Pexels @Karola G

Lichen planopilaris is a rare inflammatory condition that causes scarring and permanent hair loss on the scalp. It is often misdiagnosed as dandruff due to the presence of scales and itching. However, unlike dandruff, lichen planopilaris leads to follicular destruction, resulting in bald patches. The exact cause of this condition is unknown, but it is believed to be an autoimmune response. Treatment focuses on halting the progression of hair loss through anti-inflammatory medications and immunosuppressants. Early recognition and intervention are crucial to preserving hair and maintaining scalp health.

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