ABSTRACT
Scalp hairs complete the body self-image and patients with alopecia suffer from overt disfi guration, leading to psychosocial embarrassment and signifi cant lack of self-esteem. Hence an early diagnosis and an aggressive treatment in the case of active hair loss are crucial in the management of scarring alopecia. This review presents a comprehensive study of newer theories in aetiopathogenesis, evolving diagnostic modalities and a step ladder approach in management of primary cicatricial alopecia.
Subject(s)
Alopecia/diagnosis , Alopecia/etiology , Alopecia/therapy , Cicatrix/complications , Cicatrix/diagnosis , Cicatrix/therapy , Humans , Scalp/pathologyABSTRACT
Morphea, a subclass of localized scleroderma, is a connective tissue disorder limited to the skin and subcutaneous tissue. We report herein a case of secondary cicatricial alopecia due to morphea, which showed very unusual site and clinical manifestations. A 24-year-old woman presented to the department of dermatology with a solitary skin-colored patch on the frontoparietal area through the eyebrow. The histopathologic findings showed hydrophic changes of the basal cells in the epidermis. In addition, there were broadened, compact, eosinophilic collagen fibers and perifollicular lymphocytic infiltration with loss of elastic fibers and adnexal structures in the entire dermis. On the basis of clinical and pathological findings, she was diagnosed with secondary cicatricial alopecia due to morphea on the frontoparietal area through the eyebrow.