Cicatricial Alopecia: Classification and Histopathology

    July 2008 in “ Dermatologic therapy
    Najwa Somani, Wilma F. Bergfeld
    TLDR Early detection and histopathology are crucial to prevent permanent hair loss in cicatricial alopecia.
    Primary cicatricial alopecias were a complex group of disorders marked by folliculocentric inflammation leading to the destruction of hair follicles and irreversible hair loss. They were classified based on the predominant cell type: lymphocytic, neutrophilic, or mixed. Histopathology played a crucial role in diagnosis, and early detection was essential to prevent permanent hair loss. The review highlighted key histopathologic findings and additional diagnostic clues from special stains and direct immunofluorescence studies. Despite thorough evaluation, accurate diagnosis could be challenging due to overlapping features among the disorders. The best diagnostic outcomes were achieved by correlating histology with clinical presentation.
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