TLDR CCCA is a common scarring hair loss in African descent women, possibly linked to genetics, hair care practices, and health issues like diabetes.
The document reviewed Central Centrifugal Cicatricial Alopecia (CCCA), a scarring hair loss condition predominantly affecting African descent women, with unclear etiology but suspected multifactorial causes including genetics, hair grooming habits, and African hair structure. It referenced a study by Kyei et al. with 310 African American women, revealing 28% had central hair loss and 59% of those had severe hair loss, noting a significant link between type 2 diabetes and severe hair loss, as well as higher rates of bacterial infections and fertility issues in CCCA patients. Another study by Olsen et al. with 529 African American women showed a 5.6% prevalence of extensive central alopecia, with a positive correlation between patient age and hair loss severity. The document highlighted the necessity for more research on CCCA, including its possible systemic connections, like diabetes and vitamin D deficiency.
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88 citations
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August 2011 in “Archives of Dermatology” Type 2 diabetes, bacterial scalp infections, and tight hairstyles like braids and weaves are linked to a higher risk of a scarring hair loss condition in African American women.
76 citations
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February 2011 in “Journal of The American Academy of Dermatology” Some African American women's central scalp hair loss is linked to genetics and past fungal scalp infections, with more research needed on other causes.
46 citations
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July 2008 in “Dermatologic Therapy” A scale was made to measure hair loss severity in African American women.
57 citations
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September 2005 in “International Journal of Dermatology” Frequent use of chemical hair relaxants is linked to increased scarring hair loss in Nigerian women.
105 citations
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June 2004 in “Dermatologic Therapy” The document concludes that proper diagnosis and a combination of medical, hair-care, and surgical treatments are important for managing alopecia in black women.
18 citations
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August 2003 in “Dermatologic Surgery” The conclusion is that creating natural-looking hair restoration requires replicating natural scalp whorl patterns and inserting grafts at specific angles.
180 citations
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January 2002 in “The journal of investigative dermatology/Journal of investigative dermatology” Vitamin D Receptor is crucial for normal skin and hair growth.