Cicatricial alopecia, also called ü scarring alopecia, uz is a rare disease that removes hair follicles that are part of the skin where the hair is lengthened. The follicles are replaced with scar tissue to cause permanent hair loss.
Brief Information on Cicatricial Alopecia
• Hair lost from cicatricial alopecia does not return.
• Cicatricial alopecia is rare and is not infectious. Anyone can take it, but it is not common in children.
• If the hair loss is too fast, it can cause itching, pain and burning. If it occurs more slowly, nothing may be felt.
Drugs are used to treat cicatricial alopecia. If there is no hair loss for 1 to 2 years, surgery may be an option.
• The disease may come back even after treatment.
Who is at Risk for Cicatricial Alopecia?
Cicatricial alopecia is not contagious. It occurs in healthy men and women worldwide. People of all ages are affected, but are not common in children. Having a disease doesn’t mean you’re usually going to find someone else. An exception is the central centrifugal alopecia. It affects the women of African origin most often and may occur in more than one family member.
Types of Cicatricial Alopecia
Cicatricial alopecia occurs in two forms. These forms are as follows:
• In the primary form, the immune cells exacerbate and destroy the hair follicle. There are two types of immune cells that can do this: lymphocytes or neutrophils. These immune cells can work alone or together.
• In secondary form, the hair follicle is not a direct target. Instead, it is destroyed by a serious burn, infection, radiation or other cause such as a tumor.
The first form of lymphocyte-containing varieties in cicatricial alopecia is:
• Lichen planopilaris (LPP).
• Frontal fibrosing alopecia.
• Centrifugal alopecia.
• Brocq’s pseudopalade.
The first form consists of neutrophils containing cicatricial alopecia:
• Folliculitis decalvan.
• Heaped folliculitis.
Including both (termed mixed inflammatory infiltration);
• Dissection cellulite.
• Folliculitis keloidalis.
Symptoms of Cicatricial Alopecia
Hair loss can be slower or slower than it can be. In the case of rapid spills, severe itching, pain and burning are felt, while in other cases, hair loss occurs gradually and is shed without any other symptoms.
Causes of Cicatricial Alopecia
Not much is known about what causes cicatricial alopecia. What the researchers know is that redness, temperature, pain, or swelling occur in the upper part of the hair follicle. This is where the stem cells and sebaceous glands are located, and the stem cells are cells that can turn into many different types of cells. If stem cells and sebaceous glands are destroyed, the hair follicle does not grow again. This means that the hair is permanently lost.
Diagnosis of Cicatricial Alopecia
To diagnose cicatricial alopecia the doctor may take a sample from the area of the hair follicles lost from the scalp region. The example provides information on which cell type is involved, where, how much inflammation is, and whether the sebaceous gland is still there. In addition, other changes in the scalp can help in the diagnosis of the disease.
The techniques to be applied by the doctor during diagnosis are as follows;
• redness, scaling and signs of infection, how much hair is lost and that the head faces the skin to see where
• scalp of itching, asked whether burning or tenderness is felt in areas
• Checks can easily withdrawn from the bristles to find active disease areas
• Looks on the skin of the hair to see that the hairs removed are not elongated.
• It takes samples from any fluid filled swelling to find out what causes inflammation.
Treatment of Cicatricial Alopecia
Medication : If there is cicatricial alopecia in the person, it is important to start treatment before too much hair falls. Treatment depends on the type of immune cell that destroys the hair follicle. Drugs can be taken orally, applied to the skin or injected into the affected areas. Although a hair follicle cannot be removed after a follicle has been destroyed, it may be possible to stimulate the follicles in the affected area before permanent damage occurs. A drug used to treat high blood pressure can stimulate follicles to increase hair growth.
Treatment usually lasts long. Symptoms and signs are kept under control until the hair loss slows down or is stopped. Unfortunately, hair loss can continue silently even after the symptoms and signs have been removed. Once cicatricial alopecia has been stabilized, it may resume years later and treatment may need to be resumed.
Operation: After the disease has been ineffective for 1 or 2 years, surgical hair restoration or scalp reduction may be useful to restore hair to bald areas. In hair transplant surgery, also known as hair transplantation or follicular micrografting, follicles behind the head are surgically removed and transported to the naked areas of the scalp. In scalp reduction, a bald area of the scalp is removed and the part next to the scalp is pulled together to cover the cavity. It is important to understand that cicatricial alopecia may recur even after these operations.
Which Branch Treatment Is Cytoplasmic Alopecia?
Dermatologists diagnose and treat cicatricial alopecia. Dermatologists are doctors who are trained to diagnose and treat skin, hair and nail diseases.
Research on Cicatricial Alopecia
Researchers continue to work to better understand the cells that target and destroy hair follicles. The investigation of a related disease indicates that the abnormal function of a given protein leads to an accumulation of fat in the sebaceous glands. This triggers inflammation and destruction of the hair follicle. A drug for the treatment of type 2 diabetes blocks this protein and may be a promising treatment for cicatricial alopecia.