{"id":47454,"date":"2023-12-13T22:55:01","date_gmt":"2023-12-13T20:55:01","guid":{"rendered":"https:\/\/www.newfreestyle.it\/?p=47454"},"modified":"2025-09-02T19:20:57","modified_gmt":"2025-09-02T17:20:57","slug":"scarring-alopecias-what-they-are-and-how-to-deal-with-them","status":"publish","type":"post","link":"https:\/\/www.newfreestyle.it\/en\/scarring-alopecias-what-they-are-and-how-to-deal-with-them\/","title":{"rendered":"SCARRING ALOPECIAS: WHAT THEY ARE AND HOW TO DEAL WITH THEM"},"content":{"rendered":"

Scarring Alopecias: What They Are and How to Deal with Them<\/h1>\n

Scarring alopecias represent a condition that is often underestimated but has a strong impact on the life of the sufferer. It is not only a condition that alters physical appearance, but also a problem that can have significant emotional and psychological consequences, undermining a person's self-esteem and well-being.<\/p>\n

Definition of Cicatricial Alopecias<\/h2>\n

Under the term scarring alopecias<\/strong> indicates a group of dermatological conditions characterised by permanent hair loss. The distinguishing feature of this pathology is the irreversible destruction of hair follicles, replaced by scar tissue. This process, which prevents any natural regrowth, is generally caused by chronic inflammatory phenomena or skin damage of various kinds.<\/p>\n

Main Causes<\/h2>\n

The causes of scarring alopecias can be many. In several cases, the underlying causes are autoimmune diseases<\/strong>such as lichen planopilare or lupus erythematosus, which directly attack the follicles. In other cases, the problem stems from skin infections<\/strong>both bacterial and fungal, capable of irreversibly damaging the structure of the follicle. External trauma, such as chemical injuries, burns or physical damage to the skin<\/strong>can give rise to scarring alopecia.<\/p>\n

Types of Cicatricial Alopecias<\/h2>\n

Scarring alopecias fall mainly into two categories:<\/p>\n

Primary Cicatricial Alopecias<\/h3>\n

In this form, the inflammatory process directly affects the hair follicles, leading to their destruction. Diseases such as lichen planopilare<\/strong>, the pseudopelade of Brocq<\/strong> or some variants of cutaneous lupus fall into this category.<\/p>\n

Secondary Cicatricial Alopecias<\/h3>\n

In this case, hair loss is not due to a direct attack on the follicles, but is a consequence of other pathological or traumatic conditions that damage the skin. Common examples are decalvating folliculitis<\/strong>serious skin infections or radiation dermatitis<\/strong>.<\/p>\n

Available Treatments<\/h2>\n

There is currently no definitive cure for scarring alopecias, as the destruction of follicles is permanent. However, early diagnosis and targeted treatment can slow down the progression of the disease, alleviate symptoms and improve the patient's quality of life. Diagnosis is based on a thorough dermatological examination, supplemented by skin biopsies<\/strong> and, in some cases, blood tests<\/strong> to detect possible autoimmune or infectious causes.<\/p>\n

Therapeutic Approaches<\/h2>\n

Treatment options depend on the severity and cause of scarring alopecia. Among the most commonly used treatments are:<\/p>\n