By PC. Luis Quiroz Ravines
By the end of 2010, nearly 70 million people, only in the United States,
suffering from some kind of alopecia or hair loss and globally affected
exceeded the 812 million. The figures are revealing, at 40% of males age 35
they were suffering from hair loss, at 60 a 65.5 males had a visible hair loss
and to 80, 70% already suffered from moderate to severe alopecia, but to women
worse as it progresses the age; at 60, 80% of women suffer from some type of
hair loss; of these figures, fortunately only one smaller number suffer from cicatricial alopecia, a condition, which
sometimes tends to be permanent and irreversible and which we will discuss in
the next article
Cicatricial alopecia What is?
Cicatricial Alopecia, also known by the names of
scarring alopecia, hair scarring or alopecia cicatrisata is the term used to
refer to a group of rare disorders that usually removes the follicular root
causing permanent hair loss; sometimes progresses slowly and for long periods
of time passes unnoticed in others is rapid and progressive and produces severe
pain, burning, and itching. The disease affects men and women of all ages and
all over the planet. It is called scar because the destruction of the follicle
occurs under the skin and in the majority of cases it does scar but when
scarring hair loss is permanent and irreversible.
Cicatricial Alopecia Causes and Treatments
It is not even well known what the cause of cicatricial alopecia
but all alopecia of this type are characterized by inflammation of the
sebaceous glands and the upper part of the hair follicle stem cells. When the
sebaceous glands and the stem cells are destroyed hair follicle regeneration is
not possible and consequently hair loss is permanent, the disease is not
associated with other ailments and is not contagious.
Treatments
Since this condition produces permanent damage to choose treatments must
be aggressive. When inflammation affects the cells of the hair follicle,
usually the dermatologist prescribed injections and topical corticosteroid
creams and medications such as
Cyclosporine, methotrexate, thalidomide may also be used. In general the oral
treatments can include antibiotics, antimalarials, immuno suppressants and up
to thiazolidinediones, a diabetes medicine. In this alopecia when the follicle
has been destroyed and the hair may not grow again, it is possible to stimulate
the follicles before irreversible damage. Signs and symptoms should be checked
and the treatment can last a long time and even after you have removed the
signs hair loss may continue silently.
The main goal of treatment should be reduce or eliminate inflammatory
cells that destroy and attacking the hair follicle. In addition to the
designated drugs may include doxycycline, mycophenolate mofetil, tacrolimus,
Synalar scalp oil, etc.
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Surgical scar alopecia treatments
When the disease has been about two years inactive, a cosmetic option
can be a surgical treatment or surgery for hair restoration, which consists of
obtaining healthy hair follicles from the back of the head called the donor
area and transplanted them in the receiving area, or bare area. Hair
transplants are common in alopecia areata, but can also be applied successfully
in cases of cicatricial
alopecia. It is important to note that even after the micrografts
follicular alopecia can reappear.
Frequent Asked Questions for Cicatricial Alopecia
What is cicatricial alopecia or scarring alopecia?
It is a type of hair loss, really a rare disease, which destroys the
hair follicle causing hair loss permanently. Men and women can be attacked by
cicatricial alopecia even if they are very healthy
Who is affected by cicatricial alopecia?
Children are the least attacked by this disease, but attack equally to
men and women of any age and in rare cases attacking families.
How are cicatricial alopecia diagnosed?
The first step of the dermatologist is to order a biopsy of the scalp;
This test will tell the doctor the type of inflammation, severity of
inflammation, location etc. The doctor will also make a clinical evaluation to
assess symptoms and signs.
How should I care for my hair?
The use of appropriate products are required to meet the cicatricial
alopecia... Your dermatologist should prescribe specific shampoos and products
that reduce inflammation, itching and flaking indicate the frequency that
should be used.
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