Cicatricial Alopecia - Treatment

Treatment

As mentioned above, primary cicatricial alopecias are classified by the predominant type of inflammatory cells that attack the hair follicles: i.e., lymphocytes, neutrophils, or mixed inflammatory cells. Treatment strategies are different for each subtype and detailed treatment options are beyond the scope of this discussion. However, certain general principals are reviewed below.

Treatment of the lymphocytic group of cicatricial alopecias (including lichen planopilaris, frontal fibrosing alopecia, central centrifugal alopecia, and pseudopelade (Brocq) involves use of anti-inflammatory medications. The goal of treatment is to decrease or eliminate the lymphocytic inflammatory cells that are attacking and destroying the hair follicle. Oral medications may include hydroxychloroquine, doxycycline, mycophenolate mofetil, cyclosporine, or corticosteroids. Topical medications may include corticosteroids, tacrolimus, pimecrolimus, or Derma-Smoothe/FS scalp oil. Triamcinolone acetonide, a corticosteroid, may be injected into inflamed, symptomatic areas of the scalp.

Treatment of the neutrophilic group of cicatricial alopecias (folliculitis decalvans, tufted folliculitis) is directed at eliminating the predominant pathogenic microbes that are invariably involved in the inflammatory process. Oral antibiotics are the mainstay of therapy, and topical antibiotics may be used to supplement the oral antibiotics. In dissecting cellulitis, pathogenic microbes are not usually present. Isotretinoin in small doses may be helpful in treating dissecting cellulitis.

Treatment of the mixed group of cicatricial alopecias (folliculitis keloidalis) may include antimicrobials, isotretinoin, and anti-inflammatory medications.

You should discuss any treatment with your dermatologist, who will also explain potential side effects, as well as laboratory tests that are needed before starting treatment and sometimes are monitored during treatment.

The course of cicatricial alopecia is usually prolonged. Treatment is continued until the symptoms and signs of scalp inflammation are controlled, and progression of the condition has been slowed. In other words, itching, pain, tenderness, and burning have cleared, scalp redness, scaling, and/or pustules are no longer present, and the progression of the hair loss has been stopped or slowed. Treatment may then be stopped. Unfortunately, the cicatricial alopecias may reactivate after a quiet period and treatment may have to be repeated.

Surgical treatment for cosmetic benefit is an option in some cases after the disease has been inactive for one to two or more years. Hair restoration surgery or scalp reduction may be considered in these instances.

Read more about this topic:  Cicatricial Alopecia

Other articles related to "treatment, treatments":

Sleep Disorder - General Principles of Treatment
... Treatments for sleep disorders generally can be grouped into four categories Behavioral and psychotherapeutic treatment Rehabilitation and management Medication Other somatic treatment None of these general ... Rather, the choice of a specific treatment depends on the patient's diagnosis, medical and psychiatric history, and preferences, as well as the expertise of the treating clinician ... Medications and somatic treatments may provide the most rapid symptomatic relief from some sleep disturbances ...
Examples - Transphobia in Healthcare
... In one case, Robert Eads died of ovarian cancer after being refused treatment by more than two dozen doctors ... showing that refusal of treatment due to transphobia is not uncommon ... was transgender, they backed away and stopped administering treatment ...
HIV/AIDS In The United States - Disparities in Treatment
... an individual greatly determine his or her access to HIV/AIDs treatment ... were more likely than African Americans to receive treatment, while the middle to upper classes were more likely to receive treatment than the poor ... to remove obstacles that prevented equal access to HIV/AIDs treatment ...
Cerebral Palsy - Treatment - Interpersonal Therapy - Occupational Therapy
... an important aspect of occupational therapy treatment with regard to optimizing the parent's skills in caring for and playing with their child to support improvement of their child's abilities to do things ...
Polycystic Ovary Syndrome - Management
... Medical treatment of PCOS is tailored to the patient's goals ... insulin levels Restoration of fertility Treatment of hirsutism or acne Restoration of regular menstruation, and prevention of endometrial hyperplasia and endometrial cancer ... lack of large scale clinical trials comparing different treatments ...

Famous quotes containing the word treatment:

    If the study of all these sciences, which we have enumerated, should ever bring us to their mutual association and relationship, and teach us the nature of the ties which bind them together, I believe that the diligent treatment of them will forward the objects which we have in view, and that the labor, which otherwise would be fruitless, will be well bestowed.
    Plato (c. 427–347 B.C.)

    I am glad you agree with me as to the treatment of the mining riots. We shall crush out the lawbreakers if the courts and juries do not fail.
    Rutherford Birchard Hayes (1822–1893)

    The motion picture made in Hollywood, if it is to create art at all, must do so within such strangling limitations of subject and treatment that it is a blind wonder it ever achieves any distinction beyond the purely mechanical slickness of a glass and chromium bathroom.
    Raymond Chandler (1888–1959)