Hair guideHair-Loss GlossaryScarring (cicatricial) alopecia

Scarring (cicatricial) alopecia

Last updated: 2026-06-14

A group of conditions in which inflammation destroys the follicle and replaces it with scar tissue, causing permanent loss. Warning signs include smooth shiny patches, redness, scaling or pain. It is time-sensitive and needs urgent dermatologist care.

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Sources: AAD ↗

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Not medical advice. General education only; it does not replace diagnosis or treatment by a licensed professional. Consult a board-certified dermatologist before starting, stopping or changing any treatment.

⚠️ When to see a doctor — don’t self-treat

  • Sudden patchy or circular bald spots
  • Redness, scaling, pus, pain or itch (possible scarring alopecia — treat urgently)
  • Broken hairs or rapid loss
  • Loss with body-wide signs (weight loss, fatigue, cycle changes, acne, extra hair)
  • Loss right after a new medication
  • Any hair loss in a child
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