scarring alopecia; cicatricial alopecia
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Etiology
- discoid lupus erythematosus
- acne keloidalis nuchae
- variants of lichen planus
- central centrifugal cicatricial alopecia
Clinical manifestations
- patches of hair loss with no visible follicular openings
- begins as erythema at the base of hairs with evolution into clusters of hairs emerging from an indflammed base
- progression is slow
- results in permanent hair loss
* images[5]
Laboratory
- scalp biopsy required for diagnosis
Management
- refer to dermatologist
More general terms
More specific terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018.
- ↑ Gathers RC, Lim HW. Central centrifugal cicatricial alopecia: past, present, and future. J Am Acad Dermatol. 2009 Apr;60(4):660-8 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19293013
- ↑ Hordinsky M Cicatricial alopecia: discoid lupus erythematosus. Dermatol Ther. 2008 Jul-Aug;21(4):245-8 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18715293
- ↑ Racz E, Gho C, Moorman PW, Noordhoek Hegt V, Neumann HA. Treatment of frontal fibrosing alopecia and lichen planopilaris: a systematic review. J Eur Acad Dermatol Venereol. 2013 Dec;27(12):1461-70 PMID: https://www.ncbi.nlm.nih.gov/pubmed/23531029
- ↑ 5.0 5.1 DermNet NZ. Lichen planopilaris (images) http://www.dermnetnz.org/hair-nails-sweat/lichen-planopilaris.html