Brock's pseudopelade in trichology is atrophic alopecia. The disease is a fast-flowing hair loss due to complete atrophy of the follicles. If this pathology is detected, therapy should be started immediately, since the baldness caused by it is an irreversible process.
Causes of the disease
Scientists still have not figured out the exact causes of Brock's pseudo-pelad. However, it was proved that pathology is often observed in patients with focal scleroderma. According to statistics, this type of baldness is found mainly among the fairer sex aged 35-40 years.
The clinical picture of pathology
At the initial stage of the disease, symptoms are practically not observed. The patient can only be bothered by the simultaneous growth of two hairs from one follicle. Often, the detection of the disease occurs when foci of baldness, mainly rounded, are already visible on the head. They appear most often on the back of the head, as well as in the Temech region.
Initially, the skin under the affected areas is smooth to the touch, has a pinkish or waxy hue. In addition, foci with peeling are formed on the skin, crusts appear. Any signs of an inflammatory process on the epidermis are completely absent.
Near the follicles that are involved in the pathological process, you can notice a pink border. Then keratosis of the skin is detected, which reduces to the fact that the affected hair is quite easily pulled out, in their place after a while, scars form. Dense tissue completely deprives the ability to restore hairline.
Symptoms of circular baldness are similar to the clinical picture observed with focal alopecia. For this reason, it is so important to undergo differential diagnostics in a timely manner.
The disease can be independent or complicate some pathologies of the skin.
Symptoms and types
The disease affects mainly the scalp. First, the lesions are mainly small. Gradually, they begin to grow, reaching 3-5 mm, after a time - 10 mm, becoming more visible visually.
Most often, the foci take the form of a circle or oval. Such bald patches during an external examination of the patient are detected immediately, because a fairly clear border is visible between them and healthy scalp. The skin there is completely smooth, only sometimes on it you can see a single thickened hair. The epidermis turns pink or white.
As a rule, individual foci are not large. On the scalp they are located in small groups and subsequently merge. Then a large bald spot appears.
According to studies, there are several varieties of Brock's pseudo-pelad, the symptoms of which differ from each other:
- pure spotted atrophy - hair is completely absent on the affected areas, the skin becomes white;
- spotty atrophy with redness - in the focal area, the skin acquires a reddish tint;
- spotty atrophy with hyperkeratosis - in the area of lesions, not only hair loss is observed, but there is also a significant thickening of the stratum corneum of the epidermis.
Diagnostics
The biological material of the patient is examined under a microscope in laboratory conditions, characteristic pathological changes are revealed. It is quite easy to make a diagnosis for such a patient, if he excludes all other dermatological diseases in which scars appear on the lesion sites.
Forecast
This type of atrophic alopecia is considered a chronic disease that lasts a lifetime and is not amenable to therapeutic manipulations. At the initial stages of the disease, redness of the skin appears in the region of the plaques.
Over time, it completely disappears, and in its place a not very pronounced atrophy of the skin is formed. The hair on the affected area never grows. Hopes for recovery (even with timely and correctly conducted treatment) are minimal.
Treatment features
The existing treatment methods in some cases still allow you to stop the development of pathology. Modern areas of therapy contribute to the improvement of the condition of the affected skin.
The usual course of treatment, as a rule, includes the following:
- intake of vitamin and mineral complexes;
- the use of ointments and other agents for affected skin areas, which contain tar or sulfur;
- scalp massage;
- paraffin baths;
- passing a course of mesotherapy, which involves injecting the necessary vitamins and other beneficial substances into the scalp;
- taking hormonal drugs (exclusively for the purpose of the endocrinologist).
The biocomplex procedure also shows high efficiency. It consists in skin massage using a special steam capsule. To nourish the affected areas with valuable components, only natural oils are chosen. The treatment course lasts at least 5 days. The session lasts 30 minutes.
It is used for the treatment of Brock's pseudopelads and laser therapy. The procedure is designed to start recovery processes inside the skin. It helps to improve blood circulation, normalizes metabolism in cells and tissues in the affected areas. The laser is a powerful antiseptic.
Some patients practice traditional medicine and use natural remedies: peanut butter, burdock root infusion, decoction of medicinal chamomile, plantain leaves and sage flowers.
Pimafucort ointment for the treatment of baldness
Sometimes, doctors treat Pimafucort ointment to treat Brock's pseudopelad. According to the instructions for use, the drug is indicated for short-term therapy of superficial dermatoses, which respond to corticosteroid effects, complicated by secondary bacterial or fungal infections.
The composition of the drug includes hydrocortisone, the antifungal substance natamycin, and the antibiotic neomycin. The role of the auxiliary component is polyethylene oleogel.
Features of application and dosage
Before using the product, you need to study the instructions for use, price, reviews. Pimafucort ointment is applied in a thin layer on the lesions from two to four times a day. The duration of the course is determined by the doctor individually. It depends on the nature and severity of the disease. The course of treatment usually does not exceed two weeks.
The drug in the presented dosage form is the best option for the treatment of chronic skin diseases in which lesions are observed, accompanied by excessive dryness of the epidermis, the formation of scars and cracks.
Apply the medication to children from the age of 1 year under the strict supervision of a doctor.
According to reviews and instructions for use, Pimafucort ointment (the price of which is quite affordable) is often prescribed for patients with circular alopecia. True, only complex therapy will help get rid of the disease to the end. One ointment will not work.
Thus, Brock's pseudopelade is a serious disease of the scalp that requires immediate medical attention. The effectiveness of treatment is increased significantly at the timely request for help from a doctor. Therefore, it is so important to periodically inspect the skin and monitor its condition.