Atrophic alopecia (a. atrophica) is a type of baldness characterized by gradual loss of hair in certain areas of the head. With this disease, atrophy of the hair follicles occurs, which leads to thinning and hair loss.
The main signs of atrophic alopecia:
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Gradual baldness, most often in the parietal and occipital areas of the head.
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The skin in areas of baldness becomes smooth and shiny.
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Hair becomes thinner and loses pigmentation.
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The growth of new hair in the affected areas is difficult or impossible.
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There is no itching or soreness of the skin.
The reasons for the development of atrophic alopecia are not completely clear. The role of hereditary factors, hormonal disorders, stress, and nutritional deficiency is assumed.
Diagnosis is based on the clinical picture and trichoscopy. Treatment is mainly symptomatic and aimed at slowing down the process of baldness. It is possible to use minoxidil, corticosteroids, and immunostimulants. In severe cases, hair transplantation is performed.
The prognosis for atrophic alopecia is generally unfavorable. The disease progresses and leads to significant hair loss.