Cicatricial Marginal Alopecia: Is It All Traction?

    September 2008 in “ British Journal of Dermatology ”
    Lynne J. Goldberg
    Image of study
    TLDR Traction may not be the only cause of cicatricial marginal alopecia.
    In the 2009 study, Dr. Lynne J. Goldberg evaluated 15 patients with cicatricial marginal alopecia (CMA), a type of scarring hair loss at the scalp margin. The study, which reviewed biopsies from 1999 to 2006, found that not all patients had a history of hair care practices leading to traction alopecia, with six denying such practices and three having an unknown hair care history. Histological analysis showed a loss of hair follicles and retention of sebaceous glands, with an average of 7.8 hair follicles per 4-mm punch biopsy, significantly lower than the normal range of 21 to 38. The study concluded that traction may not be the only cause of CMA and highlighted the need for further research into the mechanisms of follicular loss and the role of stem cell depletion in scarring alopecia. Clinicians were advised to consider CMA in cases of band-like hair loss at the scalp periphery, even without a history of traction alopecia.
    Discuss this study in the Community →

    Research cited in this study

    2 / 2 results

    Related Community Posts Join

    6 / 14 results

      community Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 1 month ago
      The user is experiencing hair loss and confusion over conflicting medical advice, with treatments including minoxidil, finasteride, and topical corticosteroids. They are unsure about the necessity of a biopsy and the timing of using minoxidil, while also considering the impact of potential androgenetic alopecia and telogen effluvium.

      community Finasteride not working isnt it MPB?

      in Finasteride/Dutasteride  5 upvotes 8 months ago
      A user is concerned that finasteride isn't working for their hair loss, questioning if it's due to male pattern baldness or low iron levels. They are advised to take finasteride daily and get blood work done.
      [object Object]

      community DHT is about to get smashed ….

      in Update  800 upvotes 4 months ago
      The conversation discusses hair loss treatments like topical finasteride with minoxidil, oral dutasteride, and essential oils. Oral treatments like dutasteride and finasteride are seen as more effective, though some prefer topicals to avoid side effects.
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  828 upvotes 5 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.

    Similar Research

    5 / 1000+ results
      What's New in Cicatricial Alopecia?

      research What's New in Cicatricial Alopecia?

      16 citations, January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”
      New treatments and early diagnosis methods for permanent hair loss due to scar tissue are important for managing its psychological effects.
      [object Object]
      Disorders of the Scalp and Hair

      research Disorders of the Scalp and Hair

      January 2018
      Different scalp and hair disorders are more common in certain ethnic groups, with the most common being androgenetic alopecia, which is treated with medications like minoxidil and finasteride.