Hair Loss

Some (but not all) Patients with Scarring Alopecia Have Symptoms — Donovan Hair Clinic

CCCA or central centrifugal cicatricial alopecia often gives “pins and needles,”  itching and tingling in the early stages of the condition. Over time, these symptoms may disappear in many despite the fact that the hair loss keeps progressing. One should never the disappearance of symptoms means the condition no longer needs treatment.

Discoid lupus (DLE), dissecting cellulitis (DSC), pseudopelade (PPB) and folliculitis decalvans (FD) are often symptomatic. Again, not all. Some with FD have no symptoms whereas others are extremely troubled by burning and itching and tenderness.

Avoiding False Assumptions when Treating Scarring Alopecia:

A common error in treating scarring alopecia is assuming that a patient who once had symptoms and now no longer has symptoms has gone from “active” to “inactive” scarring alopecia and can stop treatment. This is simply not correct. A reduction in symptoms is always a wonderful and promising sign of potential success but some scarring alopecias still proceed to cause further hair loss despite the fact that symptoms have been removed.

True “burnt out” inactive cicatricial alopecia (BO-ICA) is often without symptoms. This is a state of scarring alopecia where the disease has been quieted down completely and further hair loss does not occur. In BO-ICA, all medications can be stopped and further hair loss will not occur. In treatment induced inactive cicatricial alopecia (TI-ICA), symptoms are also not present & the disease is also stopped. However, this inactive disease state is only occurring due to the medications that are being used. With TI-ICA, the inactive scarring alopecia will once again become active if medications are stopped

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You can follow a few hair hygiene tips to make your hair less likely to fall out: Avoid hairstyles that pull on the hair - Avoid high-heat hair styling tools - Don't chemically treat or bleach your hair - Use a shampoo that's mild and suited for your hair - Use a soft brush made from natural fibers - Try low-level light therapy.

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