Central Centrifugal Cicatricial Alopecia (CCCA)

Overview

Central Centrifugal Cicatricial Alopecia (CCCA) is a type of scarring hair loss that primarily affects women of African descent. It is characterized by hair loss that starts at the center of the scalp and gradually spreads outward in a centrifugal pattern. CCCA is thought to result from a combination of genetic, styling, and environmental factors.

Symptoms

The main symptom of CCCA is progressive hair loss that typically begins at the crown or mid-scalp region. Early signs may include scalp itching, tenderness, or burning sensation. As the condition progresses, hair follicles become damaged, leading to permanent hair loss and the formation of scarring or cicatricial patches on the scalp.

Causes

The exact cause of CCCA is not fully understood, but several factors are believed to contribute to its development, including:

• Hairstyling practices: Certain hairstyling techniques that involve tension, traction, or chemicals can damage hair follicles and contribute to the development of CCCA.
• Genetic predisposition: Some individuals may have a genetic predisposition to develop CCCA, making them more susceptible to hair loss.
• Inflammation and scarring: Inflammatory processes and scarring within the hair follicles can lead to their destruction and subsequent hair loss.

Treatment

While there is no cure for CCCA, treatment aims to slow down the progression of hair loss and manage symptoms. Treatment options for CCCA may include:

• Topical corticosteroids: Corticosteroid creams or ointments can be applied to the affected areas to reduce inflammation and promote hair regrowth.
• Intralesional corticosteroid injections: Injections of corticosteroids directly into the affected scalp areas can help reduce inflammation and halt further hair loss.
• Antibiotics or antifungal medications: In some cases, antibiotics or antifungal medications may be prescribed to address any underlying infections or inflammation.
• Hair care modifications: Making changes to hairstyling practices, such as avoiding tight hairstyles or excessive heat and chemical treatments, can help minimize further damage to the hair follicles.
• Supportive measures: Supportive measures like scalp massages, gentle hair care, and maintaining a healthy lifestyle can promote overall scalp health and potentially improve hair regrowth.

Consultation

It’s important to consult a dermatologist or healthcare professional experienced in managing hair loss and scalp conditions for an accurate diagnosis and appropriate treatment plan tailored to your specific needs. They can provide guidance on proper hair care, recommend suitable treatment options, and monitor your progress over time.