68 yr female affected with frontal fibrosing alopecia under the umbrella of lichen planopilaris for over 6 years. Scalp is scaly, itchy, inflamed. Follicles become irritated and then die. Tried oral meds of Tamoxifen and plaquenal prescribed by Duke for 2 years to no avail.
I’m trying to understand if this drug prescribed for RA might be used successfully off label as a topical treatment.