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About Sciatrical Alopecia


The Hairmedic sciatrical alopecia clinics' are located in ten cities throughout the UK so whether you are suffering from alopecia areata, traction alopecia or sciatrical alopecia professional advice will be near by.

Scarring Alopecia is a form of Alopecia which leaves scarring on the area of hair loss, this could be due to a cosmetic accident such as a chemical burn from a hair dye or from a disease/disorder which has caused an inflammation in the dermis and has fibroses the hair follicle.

Unlike the usual 'Alopecia' which we have spoken about (Areata etc..), Sciatrical Alopecia will cause the destruction of the hair follicle completely and so causes permanent hair loss, the following are the most common disorders which cause this.

Below is a list of Sciatrical (cicatricial) Alopecia's, this is not an inexhaustible list, so if you feel as though you may be suffering from a scarring Alopecia, please contact your local GP, Dermatologist or Qualified Trichologist to diagnose the disorder asap.

Folliculitis Declavans:

Is characterised by redness and swelling and pustules around the hair follicle (folliculitis) that leads to destruction of the follicle and consequent permanent hair loss. Folliculitis declavans is one cause of cicatricial Alopecia (baldness with scarring) and is sometimes known as tufted folliculitis.

Folliculitis Declavans affects both men and women and may start during adolescence or at any time in adult life. The exact cause is unknown. In most cases bacteria can be isolated from the pustules but the role is not clear.

Signs and Symptoms

Any hairy region may be involved, it is usually confined to the scalp but can involve other sites including the beard, underarm and pubic hair. There are usually round or oval patches of hair loss in which there are pustules surrounding the hair follicles. Characteristically, several or many hairs can be seen coming out of a single follicle, so the scalp looks "tufted" like a toothbrush. Eventually the hairs are shed as the follicle is completely destroyed and leaves behind a scar.

Usually there are no symptoms but sometimes the affected area may be itchy. The disease may remain limited to a few small patches or may progress over time causing extensive hair loss.

Lichen Planus (planopilaris)

It is thought to be due to an abnormal immune reaction provoked by a viral infection (such as hepatitis C) or a drug. Inflammatory cells seem to mistake the skin cells as foreign and attack them. Lichen Planus may cause a small number of skin lesions or less often affect a wide area of the skin and mucous membranes.

Signs and Symptoms

Follicular Lichen Planus, also known as Lichen Planopilaris, results in tiny red spiny papules around a cluster of hairs (the scalp feels very rough). Rarely, blistering occurs in the lesions. Permanently bald patches may develop. Sometimes no follicular scaling or inflammation is present but bald areas of scarring slowly appear, often looking rather like footprints in the snow. This is known as 'pseudopelade'. Frontal Fibrosing Alopecia is thought to be a limited form of Lichen Planopilaris.

Frontal Fibrosing Alopecia

Frontal Fibrosing Alopecia has been described only recently and is quite uncommon. Its name reflects hair loss and scarring in the frontal region of the scalp.

Signs and symptoms

Frontal Fibrosing Alopecia usually affects post-menopausal women over the age of 50. It is characterised by hair loss on the front and sides of the scalp. The skin in the affected area usually looks normal but may be pale or mildly scarred. There may be mild redness around the hair follicles at the margins. The hair slowly retreats backward, to give an (Queen Elizabeth I) type of hair line, the skin in the receded area is smooth and shiny, and no follicles are present.


Discoid lupus erythematous (DLE) is a chronic skin condition of sores with inflammation and scarring favouring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. The centre areas may appear lighter in colour with a rim darker than the normal skin. Discoid Lupus Erythematous can be divided into localised, generalised and childhood discoid Lupus Erythematous.

We understand that hair and scalp disorders can be traumatic and can have a severe affect on a person’s well-being, which in turn affects the patient’s health in general, after all hair is well documented as the barometer of health. Our sciatrical alopecia clinics provide a service encompassing both the medical and cosmetic issues relating to scalp and hair health. Each clinic is dedicated to providing expert advice and treatment for all types of hair loss and scalp problems, to cosmetic damage. Call now on 0330 660 0648 to book your appointment.

Alopecia is an 'auto-immune' disorder much like eczema and asthma.

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