We’re still learning a lot about the root causes of scarring alopecias and also still do not have all the responses. Today, it would show up that scarring alopecias are triggered by a selection of processes that ruin hair roots, stem cells, and oil glands (sweat glands). For some problems, such as lichen planopilaris, it would certainly show up that the production of uncommon (pro-inflammatory, hazardous) lipids by the hair follicle has an essential duty. In scarring alopecias like folliculitis decalvans, it would undoubtedly appear that bacteria such as Staphylococcus aureus have a vital responsibility.
For scarring alopecias with inflammation of main neutrophils or a mixture of cells, the standard treatment entails antibiotics and isotretinoin. A lot more experimentally, medicines like methotrexate, tacrolimus, cyclosporin, and also even thalidomide have been utilized to treat some forms.
Once scarring alopecia has reached the burnt-out phase and there has been no more hair loss for a couple of years, hairless locations can be surgically eliminated if they are not too large or the bald patches can be hair transplanted with hair follicles extracted from new places.