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Lichen planopilaris (LPP) is considered to represent a variant of lichen planus which predominantly affects the scalp. We report on our histological experience in 47 patients with lichen planopilaris/frontal fibrosing alopecia. Besides presenting the spectrum of clinical appearance of the disease we emphasize the importance of vertical histologic sections of biopsies in the clinicopathological work-up of these patients and give precise histologic criteria and clues in different stages of the disease. Immunohistologically, we found a marked reduction.