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Last reviewed: 08.07.2025
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The coincidence of clinical and morphological diagnoses of rashes on smooth skin and scalp is a confirmation of the reliability of the established nosology. In cases where the diagnoses do not coincide, it is necessary to find out what caused this. The reason for their discrepancy may be an erroneous definition of the dermatosis that caused the pseudopelade condition, or the existence of two different dermatoses in the patient at the same time. The latter is possible, but rarely occurs in practice.
In the absence of active manifestations of dermatosis in the pseudopelade area and on other areas of the skin and visible mucous membranes, dynamic observation of the patient is indicated. Repeated examinations, measurements and comparisons of drawings-copies of the atrophic alopecia focus (once every 2-3 months) make it possible to identify manifestations characterizing the active stage of dermatosis (typical elements of the rash, hair changes, an increase in the size of the pseudopelade, etc.).
Diagnosis of the dermatosis that caused the pseudopelade condition allows for the prescription of complex treatment taking into account specific indications and contraindications. When choosing a drug with a broad spectrum of action (aminoquinoline derivatives, retinoids, glucocorticosteroids, cytostatics, etc.), the doctor should always weigh the actual benefits and possible harm of the upcoming therapy.
In case of noticeable pseudopelade, it is recommended to model the hair accordingly, wear a hairpiece or wig, or use other methods of camouflage. In case of reliable stabilization of the skin disease in individual patients who are not satisfied with the methods of camouflage and have not reconciled themselves with a persistent cosmetic defect, surgical treatment is possible: autotransplantation of hair into the atrophic focus or its removal.
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