Over the years we have noticed an increase in the number of patients with Scarring Alopecia. While part of the reason for this is that the medical community is becoming better at identifying, we also do believe that the incidence of scarring alopecia is increasing. There is some evidence that certain harsh hair care practices may contribute to some forms of Scarring Alopecia, such as the use of chemical relaxers from a very young age. This type of hair loss is much more common in women than men, with some studies reporting as high as a 4:1 ratio of women to men. There is some evidence to suggest an autoimmune cause, and there may be a genetic component as well, but more research definitely needs to be done.
There are several types of Scarring Alopecia, with the most common being Central Centrifugal Cicatricial Alopecia (CCCA), Lichen PlanoPilaris (LPP), and Frontal Fibrosing Alopecia (FFA). As Scarring Alopecia can be permanent, our goal with any patient that we believe may have Scarring Alopecia is to quickly confirm the diagnosis and aggressively start treatment.