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Scalp pain, burning, or itching accompanying the hair loss may indicate an inflammatory condition such as scarring alopecia, which can cause permanent follicular damage if not treated promptly

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ROS and oxidatively modified macromolecules function as damage-associated molecular patterns (DAMPs), engaging pattern recognition receptors (PRRs) on microglia, including Toll-like receptors (TLRs) and NOD-like receptors (NLRs), to initiate inflammatory cascades ( Microglia, the resident immune cells of the CNS, are tightly regulated under physiological conditions to maintain neural homeostasis