Broca's pseudopelade or cicatricial atrophic alopecia is an acquired form of alopecia, which is manifested by focal hair loss, accompanied by scarring and skin atrophy.
Etiopathogenesis of atrophic alopecia
Etiology and pathogenesis have not been fully elucidated.
Epidemiology of Broca's pseudopelade
Broca's pseudopalade occurs predominantly at the age of 35-40 years. The disease is typical for both men and women.
Clinic
The disease begins with the appearance of small cicatricial-atrophic asymmetrically located foci of alopecia, which increase in size, acquire irregular jagged outlines, merge with each other. At the beginning of the disease, moderate perifollicular hyperemia is observed in the lesions, then skin atrophy without signs of inflammation and peeling, the follicular apparatus is destroyed. Sometimes, in the center of the lesion, there are lonely visually unchanged long hairs. Patients with Broca's pseudopelade have no subjective sensations.
Current and forecast
The process is slowly but steadily progressing. Over time, hair loss stops, complete afforestation does not happen. However, with regard to hair regrowth in lesions, the prognosis is poor.
Pathology
Histological examination in patients with Broca's pseudopelade reveals a sharp atrophy of the epidermis, in the dermis - the sebaceous-hair follicle is destroyed, perivascular and perifollicular lymphohistiocytic infiltrates, located more superficially than in patients with alopecia areata, sometimes - follicular hyperkeratosis.
Diagnostics
Based on a characteristic clinical presentation and can be verified by histological examination.
Treatment of scarring alopecia
Scarring alopecia is irreversible and in most cases treatment is not effective. Patients are prescribed sedatives, lidase, nicotinic acid preparations that improve microcirculation, biogenic stimulants, vitamins, zinc, copper, and iron preparations. Ruthenic acid preparations are used in the treatment of patients with Broca's pseudopelade. It is also advisable to use physiotherapeutic methods - indirect diameter or inductothermy of the cervical sympathetic nodes and the transverse zone, cryomassage with liquid nitrogen. An important part of complex treatment is rational hair care, giving up bad habits.
Alopecia treatment with mesoscooter
Alopecia areata or diffuse alopecia with adequate medical therapy are one of the main indications for microneedling of the scalp. Using traditional Eastern methods of acupuncture, micro-punctures of the dermaroller in the scalp area increase blood flow, which contributes to the saturation of the hair follicles with nutrients and is the strongest stimulator of the growth of "sleeping" bulbs:
Biofibre hair implantation is an effective, safe and yet simple surgical procedure that allows you to achieve natural hair density. Biofibre hair implantation is recommended for scalp hair loss and alopecia. Due to the different lengths of the thread (from 15 to 45 cm), the procedure is indicated for both men and women, regardless of age, as well as a rejuvenating procedure or when it is necessary to enhance the aesthetic results of other hair restoration methods.
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