Break Dancing: A New Risk Factor for Scarring Hair Loss

    Assaf Monselise, L Chan, Jerry Shapiro
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    TLDR Break dancing on the head may cause a type of scarring hair loss that needs early treatment to prevent permanent damage.
    The document reports a case of lichen planopilaris (LPP), an autoimmune inflammatory scalp condition that can cause scarring and irreversible hair loss, which was initially mistaken for androgenetic alopecia (AGA) in a 26-year-old man who had been break dancing on his head for many years. The patient presented with thinning hair and local pruritus, and a scalp biopsy confirmed the diagnosis of LPP. The authors suggest that chronic scalp trauma from break dancing may trigger LPP and emphasize the importance of a thorough scalp examination to distinguish LPP from other nonscarring hair loss conditions like AGA. Early recognition and treatment of LPP are crucial to prevent permanent hair loss. The case highlights the need for increased awareness among physicians of the potential for scarring hair loss in patients with a history of activities that involve chronic scalp trauma.
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      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 8 months ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

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      in Research/Science  43 upvotes 7 months ago
      Lichen Planopilaris (LPP) is an autoimmune condition causing permanent hair loss and fibrosis, often misdiagnosed. Treatments include pioglitazone, topical corticosteroids, anti-inflammatory medication, and Jak inhibitors.

      community Losing Hair on Dutasteride? You might have LPP

      in Research/Science  98 upvotes 1 month ago
      Men with hair loss might have lichen planopilaris (LPP), which can mimic androgenetic alopecia, leading to misdiagnosis and ineffective treatment with finasteride or dutasteride. Proper diagnosis, including biopsies, is crucial to distinguish between androgenetic alopecia and conditions like LPP.

      community Hair Loss & Lipids: Why you have sebderm, folliculitis, LPP, inflammation, etc...

      in Research/Science  133 upvotes 3 weeks ago
      Excess sebum rich in cholesterol and triglycerides can lead to hair loss through inflammation, with treatments like Ciclopirox shampoo, Benzoyl Peroxide shampoo, and Clindamycin gel recommended for managing conditions like seborrheic dermatitis and folliculitis. Pioglitazone is suggested for Lichen Planopilaris, while Omega-3s and reducing processed foods may improve sebum quality, though genetic factors play a significant role.

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