A 40-Year-Old Woman of African Descent with Central Scalp Hair Loss
January 2022
in “
Clinical Cases in Dermatology
”
central centrifugal cicatricial alopecia CCCA scarring hair loss trichoscopy topical corticosteroids intralesional corticosteroids antibiotics oral corticosteroids hydroxychloroquine mycophenolate mofetil cyclosporine minoxidil chemical straighteners traction hairstyles topical steroids oral steroids Rogaine
TLDR A woman with CCCA has hair loss due to factors like straighteners and tight hairstyles, and treatments include steroids and avoiding certain hair products.
Central centrifugal cicatricial alopecia (CCCA) is a primary lymphocytic form of scarring hair loss predominantly affecting middle-aged women of African descent. It typically starts at the vertex and spreads centrifugally, often accompanied by itching, pain, and burning sensations. Diagnosis is based on clinical findings and histopathology, with trichoscopy often eliminating the need for a biopsy. Treatment includes potent topical or intralesional corticosteroids, antibiotics, oral corticosteroids, hydroxychloroquine, mycophenolate mofetil, cyclosporine, and minoxidil. Avoiding chemical straighteners and traction hairstyles is recommended.
