Central Centrifugal Cicatricial Alopecia

WHAT is central centrifugal cicatrical alopecia?

Central centrifugal cicatricial alopecia (CCCA) is one of the most common scarring forms of hair loss. It is seen in increased incidence in middle-aged woman of African ancestry and is thought to be multifactorial in cause. 

WHAT CAUSES CENTRAL CENTRIFUGAL CICATRICIAL ALOPECIA?

The cause is not known, but genetics may play a role. A consistent link between certain hair care practices have been shown. These include: use of hot combs, relaxers, weaves, and tight extensions.

HOW IS CENTRAL CENTRIFUGAL ALOPECIA DIAGNOSED?

Hair loss typically starts in the central midline of the scalp and progresses outwards and symmetrically. Patients may experience tenderness, itching and burning, though this is not always the case. Once the scalp appears “shiny,” the hair loss is likely permanent. Early diagnosis and medical intervention can prevent progression that often results in permanent hair loss. It is crucial to schedule an evaluation with one of our dermatologists as soon as possible to prevent this irreversible hair loss.

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