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scarring alopecia; cicatricial alopecia
Etiology:
- discoid lupus erythematosus
- acne keloidalis nuchae
- variants of lichen planus
- lichen planopilaris
- frontal fibrosing alopecia
- 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
Specific
central centrifugal cicatricial alopecia
frontal fibrosing alopecia
General
alopecia (hair loss, balding)
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: 19293013
- Hordinsky M
Cicatricial alopecia: discoid lupus erythematosus.
Dermatol Ther. 2008 Jul-Aug;21(4):245-8
PMID: 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: 23531029
- DermNet NZ. Lichen planopilaris (images)
http://www.dermnetnz.org/hair-nails-sweat/lichen-planopilaris.html