What is central centrifugal cicatricial alopecia (CCCA)

Central centrifugal cicatricial alopecia (CCCA) is a form of hair loss that is characterized by the gradual loss of hair from the center of the scalp, with the hairline typically remaining intact. It is an inflammatory disorder that is thought to be caused by a combination of genetic and environmental factors, including certain types of hairstyling. This type of hair loss often leads to scarring, making it difficult or impossible for hair to regrow.

By
Emerge Trichology
,
on
March 1, 2023

Central centrifugal cicatricial alopecia (CCCA) is a form of hair loss that is characterized by the gradual loss of hair from the center of the scalp, with the hairline typically remaining intact. It is an inflammatory disorder that is thought to be caused by a combination of genetic and environmental factors, including certain types of hairstyling. This type of hair loss often leads to scarring, making it difficult or impossible for hair to regrow. Treatment options for CCCA may include topical medications, oral medications, laser treatments, and surgical procedures.

 

Some of the common signs and symptoms of CCCA include gradual hair loss from the center of the scalp, as well as itching, burning, and/or tenderness of the scalp. Although the hairline typically remains intact, it can become thin over time. In some cases, there may be a loss of eyebrow and eyelash hair as well. This type of hair loss can be very difficult to distinguish from other forms of alopecia, such as female pattern baldness or telogen effluvium.

 

Due to the progressive nature of CCCA, it is important to seek medical treatment as soon as possible. In some cases, topical medications, such as corticosteroids, may be prescribed to reduce scalp inflammation and scarring. Oral medications, such as minoxidil, may also be used to stimulate hair growth.

 

Light therapy is another option for treating CCCA. This type of treatment involves exposing the scalp to special ultraviolet(UV) light in order to reduce inflammation and promote hair growth. It is important to note that light therapy is not a cure for CCCA, but it can help slow down the progression of hair loss. For more severe cases of CCCA, surgery may be an option. Hair transplantation is the most common type of surgery used to treat CCCA. In this procedure, healthy hair follicles are taken from a donor area (usually the back of the head)and grafted onto the affected area on the scalp. The grafts are then held in place with tiny clips or staples. The procedure is typically performed under local anesthesia and takes several hours to complete. Hair transplantation can produce natural-looking hair growth and is usually a permanent solution to CCCA.

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