I was recently diagnosed with Lichen Planopilaris at a routine dermatology exam. I had noticed an area where my eyebrow hair would not grow and a thinning area of hair just above that. She looked at my scalp and explained it as an autoimmune disease. I also have had SLE for over 23 years. She prescribed a topical gel and a steroid cream to be applied for a couple weeks. As I read here, most have had a biopsy to diagnose this and some have had injections. I’m wondering if it can be correctly diagnosed without testing? I would appreciate any conversation about this.