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      Primary cicatricial alopecia among Lybian patients: a clinicopathological and epidemiological study

      research-article
      Iberoamerican Journal of Medicine
      Hospital San Pedro
      Cicatricial, Alopecia, Hair loss, Disorder, Lybia

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          Abstract

          Abstract Introduction: Cicatricial alopecias are a group of disorders characterized by hair follicle destruction with the consequence of permanent hair loss. The current study was conducted to evaluate the epidemiological and clinicopathological characteristics of cicatricial alopecia in Libyan community. Methods: Thirty-one patients with confirmed diagnosis of cicatricial alopecia by biopsy and tricoscopy during Jan 2018 to Dec 2019 were included in this study. Data were collected by filling a pre-designed questionnaire by all included patients. Descriptive statistics were used for analyzing the results. Chi-squared test was performed to test the relationship between different variables using SPSS 22. Results: Out of 31 cases, 16.1% of patients suffered from lichen planopilaris (LPP), 25.8% discoid lupus erythematosus (DLE), 6% Folliculitis decalvans, 6.45% pseudopelade of brocq, and 16.12% Frontal fibrosing alopecia. Conclusions: Cicatricial alopecia was found to affect mainly middle-aged individuals, particularly females. Early diagnosis and treatment can decrease the burden of this concern.

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          Most cited references18

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          The effect of hair loss on quality of life.

          The aim of this study was to quantify the effect of hair loss on quality of life. Patients were recruited from an alopecia support group, and were assessed using the Dermatology Life Quality Index (DLQI) and an adapted version of the DLQI. Financial utility questions, an abbreviated version of the Center for Epidemiologic Studies Depression Scale and open-ended questions were also used. Seventy (90% response rate) questionnaires were returned. DLQI scores in responders with hair loss (mean score = 8.3, SD = 5.6, range 0-23, n = 70) were similar to those recorded in severe psoriasis. The hair loss continued to have a significant impact on life quality well after the initial event (median duration of hair loss = 138 months +/- 114; range 7-588, n = 70). Forty per cent of patients also felt dissatisfied with the way in which their doctor dealt with them. This study specifically identifies the feelings of loss of self-confidence, low self-esteem and heightened self-consciousness in people affected by hair loss.
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            Burden of hair loss: stress and the underestimated psychosocial impact of telogen effluvium and androgenetic alopecia.

            Hair loss, as it occurs with telogen effluvium and androgenetic alopecia, provokes anxieties and distress more profound than its objective severity would appear to justify. This reflects the profound symbolic and psychosocial importance of hair. Stress has long been implicated as one of the causal factors involved in hair loss. Recently, in vivo studies in mice have substantiated the long-held popular belief that stress can exert profound hair growth-inhibitory catagen-inducing and hair-damaging pro-inflammatory effects. Insights into the negative impact of stress on hair growth and the integration of stress-coping strategies into the management of hair loss disorders as well as the development of new pharmacotherapeutic strategies might lead to enhanced therapeutic modalities with the alleviation of clinical symptoms as well as the concomitant psychological implications.
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              Primary cicatricial alopecias: clinicopathology of 112 cases.

              Cicatricial alopecias represent a diverse group of diseases characterized by a lack of follicular ostia and irreversible alopecia. There is limited literature on the epidemiology and therapeutics of cicatricial alopecias.
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                Author and article information

                Journal
                ijm
                Iberoamerican Journal of Medicine
                Iberoam J Med
                Hospital San Pedro (Logroño, La Rioja, Spain )
                2695-5075
                2695-5075
                2020
                : 2
                : 4
                : 275-278
                Affiliations
                [1] Tripoli orgnameTripoli University orgdiv1Faculty of Medicine orgdiv2Department of Dermatology Libia
                Article
                S2695-50752020000400005 S2695-5075(20)00200400005
                10.5281/zenodo.3960332
                3c30ce03-56e3-43db-a881-86df9bb3717e

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 24 July 2020
                : 06 July 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 4
                Product

                SciELO Spain

                Categories
                Original Article

                Disorder,Lybia,Cicatricial,Alopecia,Hair loss
                Disorder, Lybia, Cicatricial, Alopecia, Hair loss

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