What should you know about scarring alopecia black hair?

Scarring alopecia is a group of inflammatory conditions that injure follicles and replace them with scar tissue. It can cause itching, burning, tenderness, flaking, pustules, reduced density, or smooth shiny areas where follicle openings are hard to see. It can affect any hair texture. Braids, extensions, locs, weaves, tight ponytails, heat, and chemical processing may add traction or irritation, but they do not explain every cause.

A dermatologist may examine the scalp closely and sometimes take a biopsy. [Frontal Fibrosing Alopecia](/conditions/frontal-fibrosing-alopecia/) is one condition that can cause scarring loss, while [Bald Patches](/symptoms/bald-patches/) can have non-scarring causes too.

Pause styles that cause pulling, pain, or scalp bumps, and loosen extensions or braids if symptoms begin. Space chemical relaxers and heat styling, avoid scratching, and use gentle cleansing. Keep notes and photographs of the hairline and patches. A dermatologist may discuss anti-inflammatory treatment, including [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/), when suitable.

Arrange dermatology review promptly when loss is progressing, the scalp is painful or burning, or smooth shiny areas, pustules, crusting, or a receding hairline appear. Seek urgent help for rapidly spreading redness, severe swelling, pus with fever, or significant illness. Do not wait for a patch to become large before assessment.

Does the scalp show scarring or non-scarring loss? Should I stop a hairstyle or chemical product? Is a biopsy needed? What treatment will control inflammation, and how will you monitor response?