Scarring alopecia

Scarring Alopecia, also known as cicatricial alopecia, is a form of hair loss in which inflammation causes the Hair follicles destroyed and replaced by scar tissue. This type of hair loss is usually permanent because the scar tissue affects the body's ability to produce new hair. There are various causes of cicatricial alopecia, including autoimmune diseases, infections, physical damage, or genetic factors.

Causes and risk factors

Scarring alopecia can be caused by a variety of conditions including:

  • Autoimmune diseases : Conditions such as lichen planopilaris and discoid lupus erythematosus, in which the immune system mistakenly attacks hair follicles.
  • Infections : Certain bacterial, viral, or fungal infections can cause scarring and hair loss.
  • Physical Damage : Burns, injuries, or harsh chemical treatments can damage hair follicles and cause scarring hair loss.
  • Genetic factors : In some cases, a genetic predisposition can lead to cicatricial alopecia.

Symptoms

  • Hair loss : Hair loss usually occurs in small, irregular areas that may become larger over time.
  • Scarring : Affected areas may appear smooth and shiny, with no visible hair follicle openings.
  • Inflammation : Redness, swelling, or pain may occur in the affected areas, especially in the early stages of the disease.
  • Itching or burning : These symptoms may also be present.

diagnosis

Diagnosing cicatricial alopecia usually requires a thorough examination by a dermatologist, who will take a medical history and perform a physical examination. A scalp biopsy may be necessary to confirm the diagnosis and determine the specific cause of the alopecia.

Treatment

Treatment for cicatricial alopecia aims to reduce inflammation, prevent further hair loss, and improve the cosmetic appearance. Treatment may include:

  • Anti-inflammatory medications : Topical or oral corticosteroids, immunomodulators, and other anti-inflammatory medications may be used to reduce inflammation.
  • Antibiotics or antifungals : If infections are the cause, appropriate medication can be prescribed.
  • Surgical options : Hair transplants or plastic surgery may be considered in some cases to improve appearance.
  • Nourishing treatments : Special shampoos and care products can help soothe the scalp and condition the remaining hair.

It is important to note that treatment options depend on the specific cause and severity of the disease and require an individual approach.

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