Graham-Little syndrome (Graham-Little-Piccardi-Lassueur syndrome) is an extremely rare variant of lichen planopilaris. It is characterized by lichen planopilaris of the scalp in association with follicular papules of the body and scarring alopecia of the scalp and groin. It is the particular combination of clinical features that identify Graham-Little syndrome, though each can be seen in other diagnoses. Patients are usually otherwise healthy middle-aged women.