Dermatology in Practice

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Varieties of scarring alopecia
DIP, Volume 11, Number 4.

Scarring alopecia (cicatricial alopecia) is a type of hair loss in which hair follicles are permanently destroyed. A wide range of pathologies can cause loss of hair follicles and it is important to realise that scarring alopecia is a clinicopathological reaction pattern and not a diagnosis in itself. Broadly speaking, scarring alopecias can be divided into those forms in which the hair follicle is targeted by an inflammatory infiltrate, or occasionally a neoplastic infiltrate, and those in which follicular destruction is secondary to a general scarring process in the skin caused, for example, by trauma, infection or ionising radiation.

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