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Scaring alopecia Scarring alopecia, also known as cicatricial alopecia,which is usually caused by complications of another condition. In this type of alopecia, the hair follicle is totally destroyed. A selection of distributions are possible. In some cases, hair loss is gradual, with no symptoms, and is unnoticed for long periods. In other cases, hair loss is associated with severe itching, burning and pain and is rapidly progressive. The inflammation that destroys the follicle is lower the skin surface and there is usually no "scar" seen on the scalp. Precious area of the scalp may show little signs of inflammation, or have redness, scaling, increased or decreased pigmentation, pustules, or draining sinuses. Cicatricial alopecias are secret as primary or secondary. This conversation is confined to the primary cicatricial alopecias in which the hair follicle is the target of the critical inflammatory process. In secondary cicatricial alopecias, destruction of the hair follicle is incidental to a non-follicle-directed process or external injury, such as severe infections,burns, radiation, tumors, or traction. CAUSE The cause of the a variety of cicatricial alopecias is poorly understood. However, all cicatricial alopecias involve inflammation directed at the upper part of the hair follicle where the stem cells and sebaceous gland (oil gland) are located. If the stem cells and sebaceous gland are destroyed, there is then no possibility for regeneration of the hair follicle, and permanent hair loss results. Cicatricial alopecias are not transferable .It influence both men and women, most commonly adults; although all ages may be affected Hair will not regrow once the follicle is damaged. However, it may be potential to treat the inflammation in and around surrounding follicles before they are destroyed, and for this reason it is important to begin treatment as early as possible to halt the inflammatory procedure.