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Cicatricial Alopecia

Cicatricial Alopecia is defined as hair loss associated with damage to the hair follicles that leads to scar tissue and permanent baldness.

You can be affected by a variety of medical conditions that can cause injury and destruction of hair follicles. Some of these conditions may be associated with symptoms such as itching or irritation or soreness, but with others you can lose hair and develop scarring without knowing that it is going on. Sometimes you will have a bald spot or area of hair loss detected by your hair stylist without your knowing that it was there.

This condition has become more common over the past 10-15 years especially related to more frequent practices of using hair extensions and bonding glues on the scalp.

There are three main contributing factors to cicatricial alopecia (or scarring alopecia) which cause female baldness.

Causes of Cicatricial Alopecia

Trauma, infection and various skin diseases may injure the hair follicle resulting in localised areas of scarring and bald patches in which there are no visible follicles; this is called ‘cicatricial alopecia’.

    Trauma: Hair can be pulled out by tight curlers or certain hair styles, especially black women’s hair styles, sometimes resulting in permanently thinned areas (traction alopecia). The scalp can also be injured by heat (hair dryers), or chemicals (perming solutions or bleach or glues or dyes).

    Infections that may cause cicatricial alopecia include Staphylococcal folliculitis or boils , and animal ringworm infection
    ( tinea capitis ).

    Skin diseases that may cause cicatricial alopecia include: central centrifigual scarring alopecia (CCSA), folliculitis decalvans , lichen planopilaris , frontal fibrosing alopecia , alopecia mucinosa , discoid lupus erythematosus , sarcoidosis, cicatricial pemphigoid, alopecia neoplastica, and scleroderma . Scarring hair loss of unknown cause is known as pseudopelade.

The Cicatricial Alopecia Research Foundation

(www.CARFintl.com) is an organization that has been created to help support research and find a cure for this problematic condition. Visit their website for additional information.

Cicatricial Alopecia Photos

Early Cicatricial Alopecia
Scarring is just beginning and hair growth is beginning to get thinner.

early cicatricial alopecia


Progressive Cicatricial Alopecia
A definite bald spot with scar tissue is present which can lead to placing a hair attachment to hide the baldness.

Progressive Cicatricial Alopecia


Advanced Cicatricial Alopecia
Progressive baldness and loss of hair has taken place with severe permanent hair loss.

Advanced Cicatricial Alopecia Advanced Cicatricial Alopecia

Advanced Cicatricial Alopecia


One of the goals of BlackHairMedicalExpert.com is to detect, diagnose, and treat hair loss early to prevent cicatricial alopecia and permanent baldness.

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SAD BALD WOMAN 
I have been bald for at least 5 years, over the years it has messed with me mentalley and i get so mad at myself. i have high blood pressure and also …

btimberlake@durhamcountync.gov 
I have baldness in the crown of my cranial area and on the right and left side of the temple area. Can you help me. RESPONSE There are many possibilities …

Mrs. Alberson 
Dear Dr. Weaver, Years ago I was diagnosed with Cicatricial Alopecia. I had a biopsy done and all the testing neccessary. Through the years, I've …

Lenora 
Hi Dr. Weaver, I'm a patient of yours that is being treated for hair loss. My hair loss looks a lot like the pictures on the Cicatricial Alopecia page, …

SHAWN,RN 
I HAVE BEEN DEALING WITH MY HAIR LOST FOR SOMETIME. I WENT TO A DERMATOLOGIST FOR A FEW VISITS. AFTER A BIOPSY HE WAS DONE, I JUST WAS GIVEN THE NAME …

23 year old blackwoman 
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MSMe 
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sj 
Well I have braids in my hair. One day I just got this pain on the left side of my head. When I touched the spot it was smooth but very sore. It almost …

Cassanthia penn Not rated yet
I was diagnosed with alopecia ten years ago received b12 injections helped some once I stopped hair loss began again. Also used women's minoxidil it seemed …

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hello i am 49 female and in good health. the front side of my head left and right side have started to bald with moles in that area of my head. my neck …

MrsMotivated Not rated yet
I started losing my hair about 4 years ago. The hair loss was a slow progression. However, finding out what was causing the baldness took time and ultimately …

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Hi, This is a photo of my mum's hair. As you can see she's got very thin hair on top. She's 67 years old. Is there anything she can do to help her …

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Hello Dr. Weaver, I am an African American female (27 years old) who is currently battling the onset of hairloss. A few years ago I began to notice …

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