Cicatrical alopecia due to the hair coloring burn

Abstract

Primary or secondary cicatrical alopecia is devided by depending on the pattern of follicular destruction. Secondary cicatrical alopecia by significant hairdressing related burns are rare. A 24-year-old man, college student developed round 4×2.5cm sized erythematous bald patch with crust on the top of the occipital scalp. He was injured after being overheated by the steam cap at the hair salon 46 days ago. He received burn dressing and triamcinolone intralesional injection treatment in the private clinic, but no symptom was improved. In our hospital, initially he was treated by wet dressing with KMNO4 and topical anitibiotics for prevention of secondary infection and then treated by topical minoxidil solution for 7months. After 7months, his symptom was not observed any improvement and then performed biopsy. Histologic exam showed an perifollicular fibrosis and complete absence of follicles. After 13 months, he received excision and closure of scar by the plastic surgeon.