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What is scarring alopecia?

Scarring alopecia, also known as cicatricial alopecia, is a type of hair loss that results in permanent damage to the hair follicles. Unlike other forms of alopecia, such as androgenetic alopecia, scarring alopecia does not typically respond to traditional hair loss treatments such as minoxidil or finasteride.

There are many different types of scarring alopecia, each with their own distinct causes and symptoms. Some common types include:

•           Lichen planopilaris: This type of scarring alopecia is characterized by small, red, scaly bumps on the scalp. It is more common in women and typically affects the top and crown of the head.

•           Folliculitis decalvans: This type of scarring alopecia is characterized by inflammation and scarring of the hair follicles. It typically affects the crown and vertex of the scalp, and is more common in men.

•           Central centrifugal cicatricial alopecia (CCCA): This type of scarring alopecia is characterized by a gradual loss of hair in the center of the scalp, typically starting with a patch of hair loss. It is more common in women of African descent.

Scarring alopecia can be caused by a variety of factors, including autoimmune disorders, fungal infections, and certain types of hair styling practices. In some cases, the exact cause of scarring alopecia is unknown.

Treatment for scarring alopecia typically involves a combination of approaches, including topical and oral medications, as well as hair restoration surgery. Steroids, antibiotics, and immunosuppressive drugs may be used to reduce inflammation and slow the progression of the condition. Hair restoration surgery, such as scalp micropigmentation, and hair systems are also options for treating scarring alopecia.

It is important to consult a dermatologist or hair loss specialist if you suspect you have scarring alopecia, as early diagnosis and treatment can help to slow the progression of the condition and minimize hair loss. Additionally, it is important to avoid hair styling practices that can cause traction alopecia, which can lead to scarring alopecia.

In conclusion, Scarring alopecia is a type of hair loss that results in permanent damage to the hair follicles, and it is different than other types of alopecia. It can have various causes and symptoms, and the treatment usually involves a combination of medications, surgery, and hair restoration techniques. Consultation with a dermatologist or hair loss specialist is crucial to have the proper diagnosis and early treatment.


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