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Cicatricial Alopecia

Cicatricial Alopecia is caused by the irreversible loss of hair by destruction of the hair follicles.

Clinically they are characterized by areas of alopecia in which the skin shows cicatricial changes in the form of dermal and epidermal atrophy, with absence of hair follicles.

This skin usually has a parchment appearance and is difficult to pinch.

Given the absence of hair follicles, the picture is irreversible.

It usually appears in the form of small oval alopecia plates distributed throughout the scalp.

The main causes of Cicatricial Alopecia are:

  • Inflammatory dermatosis
    • Flat lichen
    • Chronic discoid lupus erythematosus
    • Scleroderma
    • Sarcoidosis
  • Primary or metastatic neoplasms
  • Trauma
    • Traumatic wounds
    • Chemical or thermal burns
    • Radiodermitis
  • Infections
    • Lupus vulgaris
    • Inflammatory ringworm
    • Herpes zoster
    • Bacterial folliculitis



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