Hair Loss Cause - Scarring Alopecia

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Hair Loss Cause - Scarring Alopecia

Also called cicatricial alopecia, scarring alopecia is one of the major causes of hair loss around the world.

This condition of hair loss is caused by the inflammation of the hair follicles due to infection. Healthy men and women from all age groups have been affected by this condition.

Visible Signs

At first, individuals who have it may notice that the hair is lost in small patches.

Gradually, the affected area continuously expands. In some cases, it is not noticed because it doesn’t have any other signs except for the hair loss. But there are also instances when the loss of hair comes with severe pain, itching and burning sensation.

The patches may be smooth but it can also be reddish, lighter or darker than normal scalp color. Some patches may be scaling while some may have blisters that are filled with pus or fluid.

In all the cases, the actual condition of the hair follicles cannot be determined by just looking at the patches. You see, the damage is usually underneath the skin so tests are needed to determine whether the follicles are severely damaged. The biopsies help a lot in determining the form of scarring alopecia that an individual has.

Forms Of Scarring Alopecia

All forms of this hair loss condition are possibly permanent and irreversible. Most of the time individuals go to the dermatologist when the condition is already severe so the hair follicles are already destroyed.

Here are some of the common forms of scarring alopecia:

Lichen Planopilaris - This form is also known as lichen planus where areas of the scalp appears raised and are reddish-purple in color. Steroid lotions are given to affected individuals to relieve the itchiness of the scalp while anti-malarial drugs are helpful in reducing inflammation.

Discoid Lupus Erythematosus - This is a disease of the connective tissue that also affects the scalp. These are round lesions that may have scaling. The scalp becomes scarred and exposure to sunlight aggravates the condition. Topical ointments like corticosteroid helps in the treatment of small lesions but anti-malarial drugs manage the condition well.

Follicular Degeneration Syndrome (also known as "hot comb" alopecia) - This condition is visible in patches of hair loss in the scalp which may or may not expand. The hair follicles are inflamed that causes the inner root sheath of the hair follicle to shed off its outer layer. Topical corticosteroid only relieves the condition.

Pseudopelade of Brocq - Another sub-condition of scarring alopecia, pseudopealde of Brocq is visible in small, smooth and round patches that are lighter than the skin. These patches form together over time and results in the degeneration of hair follicles.

Some researchers say it can be treated with :

• Corticosteroids

• Intralesional triamcinolone acetonide

• Prednisone

• Hydroxy-chloroquine

• Isotretinoin

Treatment

Treatment of scarring alopecia should be immediate to prevent further damage to the follicle. Treatment may take a long time because this condition can result to extensive damage and permanent hair loss. Topical creams and injections are used to treat the affected skin. Antibiotics may be prescribed as well. The drugs depend on the form of alopecia and how worse the condition is.

But once a scarring alopecia has reached its end stage, the affected person will have no hair loss for a few years. The bald spots can be removed through surgery or transplanted with hair.

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