In cicatricial alopecia occurs a destruction of the hair follicles, which will atrophy and are replaced by scar tissue, so that hair loss is irreversible.The inflammation that destroys the follicle is not observed with the naked eye because it is produced under the skin, and usually there are no visible scars on the scalp, therefore, if the hair loss occurs gradually and without symptoms, it can go unnoticed for a time; however, other people with this disorder suffer from itching, burning and severe pain, and lose their hair quickly and progressive.