Cicatricial Alopecia
Cicatricial alopecia is a condition of severe hair loss due to a disease that destroys the hair follicle. The hair loss is permanent, and a scar forms in the area as a result of various inflammatory skin conditions.
Initially, the hair loss is gradual, but later the skin becomes smooth. It is essentially dead tissue, and the resulting scarring prevents hair regrowth. It appears equally in both genders regardless of age.
Cicatricial alopecia is classified into primary and secondary types based on its clinical picture. In the first case, the causes are endogenous, and the most common form is lichen planopilaris. The second case is due to exogenous factors such as inflammations, burns, injuries, etc.
Treatment for Hair Loss
Conservative & Interventional Therapy
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Factors causing cicatricial alopecia
- Lichen Planopilaris
- Discoid Lupus Erythematosus
- Cicatricial Pemphigoid
- Scalp Fungal Infections
- Favus
- Skin Inflammations
- Dermatological Diseases
- Skin Neoplasms
- Other Hereditary Diseases
- Damage from Physical Causes (injuries, burns)
- Autoimmune Diseases
Symptoms and Diagnosis of Cicatricial Alopecia
The diagnosis of the disease is achieved through histological examination. Specifically, a biopsy is taken from areas showing signs of inflammation.
The primary symptoms are severe hair loss and smooth, scarred skin. Sometimes it causes itching, pain, or a burning sensation in the affected area.
However, there are cases where it is not easily detected because the hair loss is gradual and not accompanied by other symptoms.
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Methods for Treating Cicatricial Alopecia
Early detection of skin conditions leading to cicatricial alopecia, combined with individualized therapy depending on the case, can prevent extensive destruction of hair follicles. Treatment helps avoid the progression of the problem and may include:
Η θεραπεία συμβάλλει στην αποφυγή επέκτασης του προβλήματος και μπορεί να περιλαμβάνει:
- Minoxidil
- Cyclosporine
- Topical, systemic, or intravenous steroids
- Antibiotics
- Azathioprine (in advanced stages of cicatricial alopecia)
- Thalidomide
- Antimalarial drugs
For restoring hair in the affected areas, hair transplant using the FUE (Follicular Unit Extraction) method is recommended. This method involves transferring hair follicles from the back of the scalp to the areas affected by the disease.
However, a key prerequisite for hair transplant is that the condition must be in remission for a very long period. In cases of cicatricial alopecia due to physical factors such as injuries and burns, hair transplant is the number one option for addressing the problem.
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