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Scarring alopecia is a rare form of hair loss. It is a category of hair loss that includes multiple forms of alopecia that all include hair loss with a subsequent replacement of the hair follicle with scar tissue. It is not generally understood why this happens, but all scarring alopecia involves some inflammation reactions that affect the stem cells and sebaceous glands surrounding the hair follicle. If the inflammation destroys these stem cells, and and sebaceous glands (and hair follicle), there is no hope of regenerating that hair follicle..

To diagnose these conditions, a scalp biopsy must be done to confirm the presence of scar tissue. Sometimes the scar tissue build up is underneath the skin, so the condition can go unnoticed until a lot of hair is lost. Treatment usually includes anti-inflammatory medication that attempts to control the inflammation that leads to the scar tissue build up.

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