Factors Affecting the Severity of Central Centrifugal Cicatricial Alopecia

January 2016 in “ International Journal of Dermatology ”

Poonkiat Suchonwanit, Clare E. Hector, Ghada A. Bin Saif, Amy J. McMichael

central centrifugal cicatricial alopecia CCCA androgen-related conditions intralesional corticosteroids topical steroids hair regrowth hair care practices steroids

TLDR Longer hair loss leads to more severe CCCA; early treatment and avoiding damaging hairstyles help regrowth.

This study aimed to identify factors associated with the severity of central centrifugal cicatricial alopecia (CCCA) in African-American women. The duration of hair loss was found to be strongly positively associated with the degree of hair loss, reflecting the progressive nature of CCCA. Androgen-related conditions were prevalent in those affected with CCCA. The study suggests that early recognition and proper medical treatment are the best ways to protect and support hair regrowth. Patients report improvement with intralesional corticosteroids and topical steroids, but larger, prospective, controlled studies are required to evaluate the etiology of and treatment options for this condition. The study also suggests that hair care practices, such as avoiding potentially damaging hairstyles and excessive heat, should be advised.

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