What is Primary Cicatricial Alopecia (hair loss) or Scarred Alopecia?
Scarred alopecia defines permanent hair loss in which the hair follicles are damaged and replaced by scar tissue (scar tissue). The course of the disease and hair loss varies. It can progress insidiously over the years without any symptoms, or it can watch very quickly in months.
Skin findings such as hair loss, skin rash, dandruff and acne may occur in the affected scalp areas. It is not contagious and can be seen in all age groups in both men and women. It has no inherited feature.
What Is Scarred Hair Loss?
It is divided into two as primary and secondary hair loss.
In primary scarred type hair follicles disappear by being directly affected by the disease; It provides indirect destruction of hair follicles due to reasons such as accident, trauma, radiation and infection in secondary scarring hair loss.
Primary cicatricial alopecia; It is divided into lymphocytic, neutrophilic and mixed types.
Lymphocytic: Chronic cutaneous lupus erythematosus, lichen pilanopilaris, frontal fibrosing alopecia, graham little syndrome, classical pseudopelad, central centrifugal cicatricial alopecia, alopecia mucinosis, keratosis follicularis spinulosa decalvans
Folliculitis decalvans, dissecting cellulite
Acne keloidalis, Acne necrotica
What are the causes of cicatricial alopecia?
Although the causes of primary ones are not known exactly, they occur as a result of irreversible direct damage to stem cells in the hair follicle. The reason is not known exactly.
Secondary cicatricial hair loss can occur for a variety of reasons (accident, burn, chemical, surgery …)
Who is seen more often?
It can be seen at all ages, although it is not very common in both sexes and children. There is no scientific study on the incidence. There are scientific studies showing that it is familial.
Are There Any Diseases Associated With Cicatricial Alopecia?
Usually it is alone, there is no other accompanying disease. Otherwise, it occurs in healthy men and women.
How Is Cicatricial Hair Loss Diagnosed?
Biopsy to be taken from the scalp takes an important place in the differential diagnosis. In addition, it should be evaluated together with biopsy in clinical and dermatological examination.
How Is The Treatment In Cicatricial Alopecia?
The treatment is aimed at stopping the course of the disease and does not regain the lost hair. The sooner the diagnosis is made, the faster the treatment is started, the less damage will occur on the skin.
Surgical excision or hair transplantation for balding areas may be considered after careful evaluation.