The Spectrum of Fibrosing Alopecias

    July 2022 in “ JEADV Clinical Practice
    Gloria Orlando, Bianca Maria Piraccini, Michela Starace
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    TLDR The document concludes that different types of permanent hair loss conditions are related and early treatment is key to preventing further damage.
    The document discusses cicatricial alopecia, a group of disorders causing permanent hair loss due to hair follicles being replaced by scar tissue. It focuses on four subtypes: Classical Lichen Planopilaris (LPP), Frontal Fibrosing Alopecia (FFA), Fibrosing Alopecia in a Pattern Distribution (FAPD), and Lichen Planopilaris Diffuse Pattern (LPPDP). These conditions share similar trichoscopic and histologic features, suggesting they exist along a spectrum. Treatments vary depending on the subtype and severity of the condition. The document also discusses Central Centrifugal Cicatricial Alopecia (CCCA) and LPP Diffuse Pattern, which primarily affects African Americans and is suggested to be triggered by certain hair products. Treatments aim to halt disease progression, with early treatment being crucial to potentially rescue early-damaged follicles.
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