Central Centrifugal Cicatricial Alopecia

Scarring hair loss results when an inflammatory skin condition destroys the hair follicle and replaces it with a scar. Central centrifugal cicatricial alopecia (CCCA) is a common cause of cicatricial or scarring hair loss in black women. This form of hair loss includes conditions previously known as “hot comb alopecia,” “follicular degeneration syndrome,” or “pseudopelade.” CCCA is the most common type of cicatricial hair loss. While most common in black women, it can occur in any race or either sex.

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