Central Centrifugal Cicatricial Alopecia: Past, Present, and Future

This document from 2009 discusses central centrifugal cicatricial alopecia (CCCA), a form of hair loss that primarily affects women of African descent. The causes of CCCA are still debated, but it is believed to be related to hair grooming practices and chemical relaxers. The article explores the controversy surrounding whether CCCA is a distinct clinicopathologic entity or whether histopathologic changes are non-specific and seen in other forms of scarring alopecia. Treatment options include topical and intralesional corticosteroids, oral anti-inflammatory agents, and avoidance of damaging hair care practices. The document emphasizes the need for further research to better understand and treat this form of alopecia.