Trichoscopy II: Cicatricial Alopecia

    March 2021 in “ CRC Press eBooks ”
    Bruna Duque‐Estrada, Rodrigo Pirmez
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    TLDR Trichoscopy helps tell apart Lichen planopilaris and Frontal fibrosing alopecia from other hair loss conditions.
    The document discusses trichoscopy of primary cicatricial alopecias, focusing on Lichen planopilaris (LPP) and Frontal fibrosing alopecia (FFA). LPP, a follicular form of lichen planus, mainly affects adults and can cause patchy or diffuse hair loss. Its inflammatory process is folliculocentric, with disease activity signs showing a follicular or perifollicular pattern on the scalp. A unique feature of LPP is the formation of tubular structures, or hair casts, where scaling embraces hair follicles. FFA primarily affects postmenopausal women, characterized by a progressive band of alopecia on the frontal/frontotemporal scalp. Trichoscopy is crucial in differentiating FFA from other hair disorders like alopecia areata, traction alopecia, and androgenetic alopecia. Disease activity signs in FFA are similar to LPP, including perifollicular erythema and scaling.
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      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  827 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.
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      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 Predicting Your Hair Loss with a Trichoscopy Report

      in Treatment  7 upvotes 11 months ago
      The conversation discusses the use of trichoscopy to predict hair loss patterns and inform treatment approaches. Treatments mentioned include minoxidil, finasteride, and dutasteride, with varying effectiveness based on gender-specific hair loss patterns.

      community CTE and lots of shedding for over a year

      in Female  5 upvotes 10 months ago
      A female user has experienced severe hair shedding since stopping birth control in late 2022, diagnosed as telogen effluvium with no signs of androgenetic alopecia. Despite healthy living and optimal bloodwork, she continues to shed hair daily but also sees significant regrowth.

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

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