Central Centrifugal Cicatricial Alopecia (CCCA) | Kerri Jarrett, Trichology and Epigeentics

Central centrifugal cicatricial alopecia (CCCA) is a type of hair loss that primarily affects women of African descent. The condition is characterized by a gradual loss of hair in the central and frontal areas of the scalp, often resulting in a distinctive pattern of hair loss.

The cause of CCCA is not entirely understood, but it is believed to be related to inflammation and scarring of the hair follicles. This inflammation is thought to be triggered by a number of factors, including genetics, hormonal changes, and certain hairstyles that put constant tension on the hair.

Symptoms of CCCA include itching, burning, and pain in the affected areas, as well as redness and scaling of the scalp. In advanced cases, the affected areas may appear shiny and smooth due to the complete loss of hair follicles.

Diagnosis of CCCA is typically made through a physical examination of the scalp and a review of the patient’s medical history. A biopsy may also be performed to confirm the diagnosis and rule out other causes of hair loss.

Treatment options for CCCA include topical and oral medications, such as corticosteroids and anti-inflammatory drugs, as well as surgery to remove the affected areas of the scalp. However, these treatments are not always effective, and hair loss may be permanent.

In order to prevent the progression of CCCA, it is important to avoid hairstyles that put constant tension on the hair and to maintain a healthy scalp. Regular use of a gentle shampoo and conditioner, as well as avoiding harsh chemicals and heat styling, can also help to keep the scalp healthy.

It’s important to consult a dermatologist if you suspect you have CCCA or any other type of hair loss. Early diagnosis and treatment can help to slow or stop the progression of the condition and prevent permanent hair loss.