So-called pseudobulbar baldness is a kind of incurable permanent baldness as opposed to spot baldness. It is a chronic progressive scarring baldness without obvious inflammation, and like spot baldness the bald spots are round or oval in shape, and the hair cannot be regenerated because the local skin atrophy forms a scar and the follicular structure disappears. The cause of pseudobulbar baldness is unknown. Some people think it is an independent disease, while others think that flat moss, lupus erythematosus, restrictive scleroderma, balding folliculitis, and any other skin disease that can cause atrophic scarring of the scalp and hair loss are all pseudobulbar baldness.
The major difference between pseudo-baldness and baldness is that in pseudo-baldness, the skin of the bald spot area is atrophied, and the skin is smooth, soft and slightly depressed, with a white or waxy yellow surface, and no fine hair (sweat hair) or pores are visible. In the case of pseudo-baldness, the skin of the bald spot is consistent with normal skin, sometimes with slight puffiness, but never with skin atrophy, and the pores are clearly visible. Pseudobulbar baldness develops slowly, progressively or intermittently over many years, and the bald spots formed are numerous and small, rarely resulting in complete baldness. In contrast, the development of pemphigus vulgaris is faster, often healing on its own after a period of time, but later recurring, with fewer but larger bald spots, and in severe cases, resulting in complete baldness. Once pseudobulbar baldness occurs and the hair cannot be regenerated, you should actively search for the cause of the disease and treat it symptomatically to control the development of the disease.
Although pseudo baldness looks like baldness, it is not the real baldness. It will have similar symptoms as baldness, such as round and oval-shaped hair loss on the scalp, pustules and scabs on the scalp. However, there is a difference between pseudobulbar baldness and baldness.
Difference 1: Age of onset Baldness occurs between the ages of 5 and 40 and there is no gender difference. In contrast, middle-aged men are more likely to have a higher incidence of pseudobulbar baldness.
Pseudobulbar baldness stops developing after a few months or years, so it does not become bald. In contrast, pemphigus vulgaris will develop over time into total baldness.
Difference 3: Characteristics of hair loss Pseudobulbar baldness patients have a smooth and shiny scalp surface, unclear hair follicles, and no loosening of hair at the edges of the hair loss area. The scalp of a patient with baldness has the same appearance as a normal person, the hair follicles are clear, and the hair at the edge of the hair loss area is loose and can be easily pulled out.
Difference 4: Treatment of hair loss So far there is no effective treatment for pseudo-baldness, so hair loss with pseudo-baldness cannot be recovered. There are many treatments available for baldness, and it can be recovered with timely treatment.
Difference 5: Causes of the disease There are many factors that can cause pseudobulbar baldness, which may be skin diseases or other diseases. Most baldness is caused by dysfunction of the nerve center of the brain, and may also be related to a decline in autoimmune function and endocrine disorders.