Abstract
Copyright: © 2011 d’Ovidio R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Autografts of autologous hair is now an established practice for the treatment of people suffering from male and female Androgenetic Alopecia with an inadequate response to medical therapies or with no wish of getting any treatment at all. This is a short commentary to stimulate the attention of specialists who, during their professional activity, have undoubtedly noticed the existence of patients with poor results or even worsening of their clinical situation after surgical treatment. This would happen in 5% or even more of the cases followed in a long follow up, according to a short informal survey I conducted among well-known italian colleagues experts in Hair transplantion. Surely these data should be definitely deepened.
Highlights
Inflammatory Alopecia: A Hidden Cause of an Announced Surgical Failure
This would happen in 5% or even more of the cases followed in a long follow up, according to a short informal survey I conducted among well-known italian colleagues experts in Hair transplantion. These data should be definitely deepened. Another field of application of this practice is represented by forms of scarring post-traumatic or post-inflammatory alopecia, but only where the underlying disease is settled - according to authoritative opinions - for at least 2-3 years [1]
The observation in some cases of reactivation of the disease after surgical excision or autografts, advises us to be extremely cautious in the treatment of patients with Discoid Lupus Erythematosus (DLE), Lichen Plano Pilaris (LPP) and Pseudopelade of Brocq (PP) (Figures 1,2,3)
Summary
Inflammatory Alopecia: A Hidden Cause of an Announced Surgical Failure. The Importance of Koebner Phenomenon in Trichology. This is a short commentary to stimulate the attention of specialists who, during their professional activity, have undoubtedly noticed the existence of patients with poor results or even worsening of their clinical situation after surgical treatment.
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