Hair dye for patients with LPP: Any Problems?

Hair dye for patients with LPP: Any Problems?

I am frequently asked if patients with lichen planopilaris (LPP) and similar scarring alopecias can dye their hair?For most people with scarring alopecia the use of permament, semipermanent or temporary hair dyes is completely safe. I always advise that patients review with their dermatologist if they feel any change in their scalps whatsoever following the salon visit or home application. Any marked change in scalp itching, burning or even new tenderness in the scalp would cause concern but fortunately this is extremely rare. 

For my patients with minor irritation from hair dye application, I sometimes recommend use of an anti-inflammatory cortisone shampoo (ie clobetasol proprionate (Clobex) shampoo) 1-24 hours before the dye is applied. Some of my patients even bring the shampoo to the salon and have the stylist use and wash it out let the normal instructions. 

All in all, most individuals with LPP don't experience any difficulties with hair dyes and no special precautions are needed.