Treatment of Diseases Associated with Cicatricial Alopecia

    January 2022 in “ Przegla̧d dermatologiczny
    Lidia Rudnicka, Agnieszka Kaczorowska, Anna Waśkiel‐Burnat, Adriana Rakowska, Małgorzata Olszewska
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    TLDR The document concludes that there are various treatments for diseases linked to scarring hair loss, especially for primary scarring alopecia.
    The document discusses cicatricial (scarring) alopecia, a condition that results from perifollicular inflammation that destroys hair follicles and replaces them with connective tissue, or from damage done to follicles by other pathologies not primarily directed against follicles. Examples of such pathologies include cutaneous tuberculosis, favus, and morphea en coup de sabre. Hair follicle atrophy with clinical, trichoscopic, and histological features of follicular drop out can also occur in the very late stage of non-cicatricial alopecia, such as androgenetic alopecia and alopecia areata. The document also mentions a fourth group of diseases with similar clinical and sometimes trichoscopic presentation, but significantly different histology, which is alopecia associated with neoplastic diseases (alopecia neoplastica). The document summarizes basic information about therapeutic methods that can be applied in selected diseases associated with cicatricial alopecia, with particular emphasis on primary cicatricial alopecia.
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