Graham Little Piccardi Lasseueur Syndrome Presenting with Features of Frontal Fibrosing Alopecia: A Rare Presentation

Graham-Little-Piccardi-Lasseur Syndrome is characterized by multifocal, cicatricial alopecia over the scalp, non-cicatricial alopecia of the axillae and/or perineum and follicular hyperkeratotic papules typically over the trunk, thighs, arms and wrists with or without pruritus. Frontal fibrosing alopecia is typically seen in postmenopausal women presenting as asymptomatic, progressive recession of their fronto-parietal hairline with or without nonscarring alopecia of the eyebrows. Such a coexistence of these two variants of Lichen planopilaris may be a mere overlap or a phenotypic variation of the same entity. Here we report a case of a 34-year-old female with co-existing features of both the variants.