Cicatricial or scarring alopecia comprises of diverse groups of scalp disorders that result in permanent hair loss. This destructive process can occur as a primary or secondary cicatricial alopecia.
Primary cicatricial alopecia refers to a group of idiopathic inflammatory processes that cause follicle inflammation destroying the hair follicle. Secondary cicatricial alopecia can be caused by almost any cutaneous inflammatory process of the scalp skin or by physical trauma, which injures the skin and skin appendages. Regardless of Cicatricial alopecia being primary or secondary, it causes replacement of hair follicle with fibrous tissue, thus hair can’t grow here. But Cicatricial Alopecia is just about 3% of the overall cases of hair fall complaints. Bald patches, in this case, are due to inflammation thus anti-inflammatory medications are suggested. Minoxidil 2% solution has shown to be effective, but hair transplant is the best treatment.
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