Cicatricial Alopecia

Cicatricial (scarring) alopecia is permanent hair loss from follicle destruction (primary: lichen planopilaris/frontal fibrosing alopecia/dissecting cellulitis/pseudopelade; secondary: infection/burn/trauma). Treatment: biopsy to subtype; anti-inflammatory: topical/intralesional/ systemic corticosteroids; hydroxychloroquine for LPP/FFS; doxycycline for dissecting cellulitis; immunosuppressants (mycophenolate/cyclosporine) for progressive; treat secondary cause; avoid traction/irritants; monitor progression; cosmetic wig/transplant only after disease stability; follow-up dermatology.

Common Symptoms

Permanent scarring hair loss; by LPP/FFS/dissecting cellulitis/infection

Causes and Pathogenesis

Follicle destruction by inflammation/infection/trauma causes permanent scarring alopecia.

Treatment

Biopsy; anti-inflammatory/immunosuppressive; treat cause; monitor progression

Preventive Measures

Early treatment; avoid traction/irritants; scalp care.

Department to Visit

It is recommended to visit the Dermatology/Trichology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.