This category of hair loss is considered to be an aggressive form of hair loss. In most cases due to persisting disease activity, the follicles tend to get damaged permanently thereby making it tough to treat later on.
Common recognisable signs for patients:
- 1) Redness
- 2) Too much itching
- 3) Scaling in the area of hair loss
- 4) Patches of smooth shiny skin on the scalp
- 5) Bumpiness and altered texture on the scalp
- 6) Significant Bald areas
- 7) Pus discharge
These might be alarming signs for the patients and should be identified early. Visit a doctor/trichologist for an early opinion and management as this might lead to permanent hair loss.
Common variants of scarring alopecia are as follows
- Discoid lupus erythematosus(DLE)
- Frontal fibrosing alopecia
- Central centrifugal cicatricial alopecia
- Pseudopelade of brocq
- Alopecia mucinosa
- Folliculitis decalvans
- Dissecting folliculitis
- Acne keloidalis
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Yes. Delay in medical treatment by few months may lead to permanent scarring of hair follicles and may not be recoverable by any form of medical treatment.
In many instances, scalp biopsy have been found to be very useful in diagnosing and differentiating various scarring and non-scarring alopecia , hence deciding the line of treatment.
Yes. In early phases of the disease, medicines help to control the disease activity. So an early consultation with the doctor/ trichologist is helpful..
If treated early, the hair regrows and there is no permanent damage. But in longstanding cases where no treatment has been taken or the response is not good to therapy ,the hair might not grow completely.
Yes. The disease should be stable for atleast an year, not expanding with minimal activity . The area should be throughly assessed by the hair transplant surgeon explaining the outcomes and expectations by the surgery.