Scarring Alopecia: Overview and Treatment Options

    June 2012 in “ Actas Dermo-Sifiliográficas ”
    L. Abal-Díaz, Xavier Gimeno Soria, J.M. Casanova‐Seuma
    Image of study
    TLDR Early and aggressive treatment of scarring alopecia is important to prevent further hair follicle damage.
    The document from June 1, 2012, provides an overview of scarring alopecia, particularly primary cicatricial alopecia (PCA), which is a group of hair loss disorders where hair follicles are irreversibly destroyed by inflammation. PCA, which makes up about 3% of hair loss cases in dermatology, is not fully understood but may involve autoimmune factors and stem cell damage. Symptoms can include itching, burning, and pain, and diagnosis often requires a skin biopsy. Early and aggressive treatment is crucial to prevent further damage. The document also categorizes PCA into lymphocytic, neutrophilic, and mixed types, with common diagnoses being lichen planus, chronic cutaneous lupus erythematosus, folliculitis decalvans, and Brocq pseudopelade. It discusses treatment options such as corticosteroids, antimalarials, retinoids, and immunomodulators. Additionally, it covers Lichen Planopilaris (LPP) and its variants, which are treated with topical or systemic corticosteroids, tetracyclines, and sometimes finasteride. Other forms of scarring alopecia like dissecting folliculitis, tufted folliculitis, acne keloidalis nuchae, acne necrotic varioliformis, and erosive pustular dermatosis are also discussed, with treatments including isotretinoin, antibiotics, surgery, and laser hair removal. Early intervention is emphasized for better outcomes.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 477 results
      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  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.

      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 You will lose hair if your prostaglandins aren't in balance

      in Research/Science  54 upvotes 4 weeks ago
      Prostaglandin balance affects hair loss, particularly in conditions like Lichen Planopilaris, where an imbalance can lead to hair follicle damage. Treatments mentioned include prostaglandin analogs and Pioglitazone HCL, with a focus on maintaining prostaglandin equilibrium for potential hair regrowth.

      community I just went to a dermatologist and there were many red flags about him.

      in Treatment  13 upvotes 2 years ago
      A user visited a dermatologist for hair loss concerns and was prescribed a hair lotion called "Lotion revolotion evdermia," which is meant for hair toning, hydration, and anti-aging, not regrowth. The user found the dermatologist's behavior and the prescription to be questionable.

    Similar Research

    6 / 1000+ results