Sorry you are going through this, I know it can feel devastating.

I was diagnosed with LPP back in 2020. Mine was triggered by a medication I was given for osteoporosis.

My symptoms were burning and pain in the scalp and diffuse hair loss. I was losing tons of hair all over my scalp, no patches.

I know someone with alopecia areata, and yes, their hair loss was in patches.

Although the dermatologist knew right away what was going on, she still did a biopsy, and that confirmed the diagnosis.

Hope all works out for you, good luck.