It is the most common form of scarring hair loss seen in black women. Hair care practices, such as the use of the hot comb, relaxers, tight extensions and weaves, have been implicated for decades, but studies have not shown a consistent link. The goal of therapy is to halt progression of disease and prevent further hair loss. Plaquenil and yellow diarrhea Chloroquine and hydroxychloroquine rheumatoid arthritis Cicatricial alopecia, also known as, scarring alopecia, represents various types of hair loss disorders that cause permanent hair loss. Scarring alopecia causes destruction of hair follicles and replaces the follicles with scar tissue. Once hair follicles are destroyed, hair growth is not possible. Mid‐frontal density increased improvement of associated female pattern hair loss, but there was increasing anterior hairline recession as a result of frontal fibrosing alopecia progression. After 12 months, daily ciclosporin 25 mg was initiated, and hydroxychloroquine was ceased. Dutasteride, minoxidil and spironolactone were continued. Biopsies from the pale areas devoid of hair show only fibrous tracts and not the primary pathology. The finding of gross interfollicular scarring, panfollicular lymphocytic inflammation, or involvement of the interfollicular epidermis in a biopsy should prompt a search for an alternate form of scarring alopecia that may mimic FFA. As the exact cause is not known, should be treated with appropriate medicated shampoos and topical anti-inflammatory agents as needed. In areas where the hair follicle has been replaced with fibrosis, regrowth is not possible. Hydroxychloroquine scarring alopecia Causes and Treatment of Frontal Fibrosing Alopecia FFA, Frontal fibrosing alopecia Regrowth following cessation. Plaquenil pregnancy lupusPlaquenil rash side effect Stimulating hair growth using options often considered for nonscarring alopecia has been attempted with mixed results, and these include finasteride, minoxidil topically, and bimatoprost general, with both scarring and nonscarring alopecia, early intervention is best. Scarring Alopecia Treatment & Management Medical Care.. Frontal Fibrosing Alopecia - Dermatology Advisor. Primary cicatricial alopecia diagnosis and treatment. Feb 26, 2018 A systematic approach to the evaluation of alopecia allows for more effective management. Below is a step-by-step approach that can be used in scarring alopecia Initial classification of alopecia type Applying scarring alopecia terminology based on clinical features Using histology findings to further support/define the diagnosis Providing a. Sep 13, 2019 Applies to hydroxychloroquine oral tablet. Along with its needed effects, hydroxychloroquine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking hydroxychloroquine Lichen planopilaris LPP and its variant frontal fibrosing alopecia FFA are primary lymphocytic cicatricial alopecias for which there is no evidence-based therapy. Objective We assessed the efficacy of hydroxychloroquine in active LPP and FFA using the LPP Activity Index LPPAI, a numeric score that allows quantification of the symptoms and signs of the condition for statistical comparison.