Central Centrifugal Cicatricial Alopecia

Central centrifugal cicatricial alopecia (CCCA) is a scarring alopecia – a condition which leads to destruction of the hair follicle and permanent hair loss. It predominantly affects middle aged Black women. Affected individuals experience a gradually expanding, circular area of hair loss that starts at the crown of the scalp and continues to radiate outwards, leaving behind shiny skin devoid of any hair follicles. Though genetics and hair care practices have been postulated to play a role in the development of the condition, the exact cause remains unknown. While there is no cure, various therapies have been tried. Treatment options include topical medications, intralesional steroid injections, and oral medications such as antibiotics and antimalarials. Discontinuation of any traumatic hair care practices is also highly encouraged.