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QUESTION OF THE WEEK


Pseudopelade of Brocq

A scarring alopecia mimicking AA

A lot hair loss conditions look alike. This makes the diagnosis very challenging. If every type of hair loss was treated the same way, with the same medications, it really wouldn't matter what the diagnosis is. But different hair loss conditions are treated differently.

Pseudopelade of Brocq is a scarring hair loss condition that causes permanent hair loss. It causes hair loss is circular patches and often shows no signs of inflammation. It can be a great mimicker of alopecia areata, another hair loss condition causing hair loss in patches.

Treatments for pseudopelade are designed to help stop further hair loss. Regrowth is not possible. In contrast, treatments for alopecia areata are administered with the hope of regrowing hair.

Treaments include: Topical steroids, steroid injections, calcineurin inhibitors, methotrexate, cyclosporine, hydroxychloroquine.


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.



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