Cicatricial Alopecias: Diagnosis and Treatment Complexities

July 2012 in “ Springer eBooks ”

Yolanda M. Lenzy, Amy J. McMichael

TLDR The document concludes that more research is needed to better understand and treat scarring hair loss conditions.

The document from 2012 addresses the complexity of diagnosing and treating cicatricial alopecias, a group of disorders characterized by scarring hair loss. It outlines the North American Hair Research Society's classification of primary cicatricial alopecias and discusses the clinical features and treatment options for specific types such as central centrifugal cicatricial alopecia (CCCA) and lichen planopilaris (LPP). Treatments range from topical and intralesional steroids to systemic agents like hydroxychloroquine, methotrexate, cyclosporine, and mycophenolate mofetil, with minoxidil suggested as an adjuvant therapy. Hair transplantation is considered for stable disease. The document also addresses the treatment of related conditions such as chronic cutaneous lupus erythematosus (DLE), dissecting cellulitis of the scalp (DCS), and folliculitis decalvans (FD), recommending a therapeutic ladder approach. It concludes with a call for more research to improve the understanding and management of these challenging conditions.

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13 / 13 results

research Secondary Cicatricial and Other Permanent Alopecias

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The document says that treating the root cause of hair follicle damage is crucial to prevent permanent hair loss, and treatment options vary.

research Diagnosis and Management of Primary Cicatricial Alopecia: Part I

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The article explains how to diagnose and manage certain types of scarring hair loss.

research A Case-Series of 29 Patients with Lichen Planopilaris: The Cleveland Clinic Foundation Experience on Evaluation, Diagnosis, and Treatment

113 citations , July 2007 in “Journal of the American Academy of Dermatology”

The study found that steroids and tetracycline helped treat active Lichen planopilaris, and hair transplants were good for later stages.

research Female Pattern Hair Loss and Its Relationship to Permanent/Cicatricial Alopecia: A New Perspective

73 citations , December 2005 in “Journal of Investigative Dermatology Symposium Proceedings”

Some women with common hair loss may develop permanent hair loss.

research Hair Loss: Is There a Relationship with Hair Care Practices in Nigeria?

57 citations , September 2005 in “International Journal of Dermatology”

Frequent use of chemical hair relaxants is linked to increased scarring hair loss in Nigerian women.

research Frontal Fibrosing Alopecia in Postmenopausal Women

179 citations , January 2005 in “Journal of The American Academy of Dermatology”

Some postmenopausal women with frontal fibrosing alopecia stopped losing hair with finasteride treatment, hinting at a possible hormonal cause.

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The document concludes that proper diagnosis and a combination of medical, hair-care, and surgical treatments are important for managing alopecia in black women.

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Different hair care practices and conditions affect African American hair and scalp health, requiring specialized knowledge for treatment.

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32 citations , August 2003 in “Journal of the American Academy of Dermatology”

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Dermatologists need to understand African American hair-care practices to better treat their hair and scalp disorders.

research Use of an 800-nm Pulsed-Diode Laser in the Treatment of Recalcitrant Dissecting Cellulitis of the Scalp

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The document does not conclude the effectiveness of the 800-nm pulsed-diode laser for treating scalp cellulitis.

research Fibrosing Alopecia in a Pattern Distribution

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Some people with pattern hair loss may also have scalp inflammation and scarring similar to lichen planopilaris.

research Postmenopausal Frontal Fibrosing Alopecia: A Frontal Variant of Lichen Planopilaris

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Frontal fibrosing alopecia is a hair loss condition in postmenopausal women, similar to lichen planopilaris, with ineffective treatments.

9 / 9 results

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Alopecia causes hair loss and should be treated early, especially scarring types where hair cannot regrow.

research Common Causes of Hair Loss: Clinical Manifestations, Trichoscopy, and Therapy

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The document's conclusion cannot be provided because the document cannot be parsed.

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research Cicatricial Alopecias: Diagnosis and Treatment Complexities

1 citations , July 2012 in “Springer eBooks”

The document concludes that more research is needed to better understand and treat scarring hair loss conditions.

research Alopecia: Evaluation and Treatment

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No treatments fully cure or prevent alopecia areata; some help but have side effects or need more research.

research Hair Diseases

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Most hair loss can be diagnosed with patient history and physical exam, and a few common types make up most cases.