Characterized by perifollicular erythema and scale that can progress to cicatricial alopecia over time. It is thought to be caused by dysfunction in cell-mediated immunity. This condition may present in association with lichen planus, although it is often seen alone. It more commonly affects women as well as individuals with lighter skin phototypes. Age of onset is frequently between age 40 and 60. The condition has been described in children, although it is very uncommon. Increased hair shedding, severe itching, scaling, burning, and tenderness are common symptoms. There are several variants of LPP: classic LPP, frontal fibrosing alopecia, and Graham-Little-Piccardi-Lassueur (or Graham-Little) syndrome.