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Cicatricial Alopecia

Also known as:  Scarring Alopecia

What is it?

Alopecia is the term used for hair loss. Cicatricial alopecia, also known as scarring alopecia, is hair loss that occurs in areas where there is scarring or other tissue damage.

Who gets it?

People whose skin has been scarred by burns, certain diseases, radiation therapy, or other injuries may develop cicatricial alopecia.

What causes it?

Scar tissue forms when some part of the dermis is destroyed. The dermis is the second layer of the skin, and contains the hair follicles. In addition to burns and other injuries, cicatricial alopecia can be caused by certain types of infections, called granulomas; lupus erythematosus; recurring bacterial or fungal infections; a skin disease called lichen planus; and scalp ringworm.

What are the symptoms?

People with cicatricial alopecia have bald spots on the part of the body where the tissue damage occurred.

How is it diagnosed?

Cicatricial alopecia can be diagnosed by studying the patient’s medical history and examining the affected areas. The cause of the scarring is usually easy to identify. In some cases, your doctor may want to remove a small sample of skin, called a skin biopsy, to examine under a microscope. He or she may also use a skin sample to grow a tissue culture to look for fungi or bacteria.

What is the treatment?

To treat cicatricial alopecia, your doctor will look to identify and eliminate the cause. However, if there is severe scarring, it is unlikely that hair will grow again.

Self-care tips

There are many forms of alopecia, so it is important to determine the type of alopecia before treating the condition. People with all forms of alopecia usually find support groups dedicated to their condition helpful.  Visit the Cicatricial Alopecia Research Foundation for more information.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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This page was last updated on October 31, 2006
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