Scarring (Cicatricial) Alopecia Flashcards
Scarring (Cicatricial) Alopecia
Clinical Feature
irreversible loss of hair follicles with fibrosis
Scarring (Cicatricial) Alopecia
physical Etiologies.
radiation, burns
Scarring (Cicatricial) Alopecia
infections Etiologies
fungal, bacterial, TB, leprosy, viral (HSV)
Scarring (Cicatricial) Alopecia
primary inflammatory Etiologies. Subdivisions
lymphocytic, neutrophilic, and mixed
Scarring (Cicatricial) Alopecia.
lymphocytic causes
lichen planus
DLE
CCCA
lichen planus on Scarring (Cicatricial) Alopecia
(lichen planopilaris) – white scale around hair follicles, up to 50% have lichen
planus at other body sites
DLE on Scarring (Cicatricial) Alopecia
(note that SLE can cause an alopecia unrelated to DLE lesions which are non-scarring)
CCCA Scarring (Cicatricial) Alopecia. Epidemiology, pattern, prevalence, associated with?
seen in up to 40% of black women, starting at
central scalp; one of most commonly diagnosed scarring alopecias, may be associated with hair
care practices in this population
Scarring (Cicatricial) Alopecia.
neutrophilic causes
folliculitis decalvans
dissecting cellulitis of the scalp
Scarring (Cicatricial) Alopecia . folliculitis decalvans
discharge of pus and blood, tufting of hair follicles
mixed causes of Scarring (Cicatricial) Alopecia
acne keloidalis nuchae
morphea
Scarring (Cicatricial) Alopecia
acne keloidalis nuchae
Dome-shaped papules, pustules, and plaques on the occipital scalp
Scarring (Cicatricial) Alopecia
morphea
“coup de sabre” with involvement of centre of scalp
Scarring (Cicatricial) Alopecia. Investigations
biopsy from active border
Scarring (Cicatricial) Alopecia. Management for infections and inflammatory
INFC treat underlying infection
INFMT topical/intralesional steroids, anti-inflammatory antibiotics, antimalarials
