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It often starts with an increase in revenue that is then followed by a decline

Over months to years, the sclerotic plaque softens and becomes atrophic with hypo- or hyperpigmentation (atrophic stage) (Fig

Early intervention improves outcomes for hair regrowth , transplanted hair , and overall scalp health

42 For a fascinating sociological perspective on why the anti-smoking crusade began to succeed when it did after centuries of failure, see Randall Collins, Tobacco Ritual and Anti-ritual: Substance Ingestion as a History of Social Boundaries, in Interaction Ritual Chains (Princeton, NJ: Princeton University Press, 2004)

However, these health problems are still as prevalent as ever, even with fewer people smoking