What is the prognosis/likely outcome? Without early treatment, CCCA is likely to progress over years eventually causing severe, non-reversible scarring and permanent hair loss (bald patches).
Can hair grow back after CCCA?
Unfortunately, CCCA is progressive. This means that it spreads over time. As a result, we cannot restore scarred hair follicles. If you catch the issue early, you can regrow some hair but in the very late stages, regrowth is unlikely.
Can CCCA alopecia be reversed?
Though hair loss due to scarring alopecia is permanent and cannot be reversed once scarred, it can be treated to help prevent further hair loss and scarring.
How do I get rid of CCCA alopecia?
Scarring alopecias that involve mostly lymphocyte inflammation of hair follicles, such as lichen planopilaris and pseudopelade, are generally treated with corticosteroids in topical creams and by injection into the affected skin. In addition, antimalarial and isotretinoin drugs may be used.
Is CCCA permanent?
Central centrifugal cicatricial alopecia (CCCA) is a disease characterized by permanent hair loss in the crown region of the scalp, inflammation, and scarring. It occurs almost exclusively in black women aged 30 to 55 years.
How is Cicatricial alopecia diagnosed?
Diagnosing cicatricial alopecia involves a clinical exam, but the most essential component of the diagnosis is a biopsy. This test provides information about the type, location, and severity of inflammation.
How do I stop the CCCA from spreading?
Treatment of CCCA involves changing grooming practices and avoiding:
- Excessive heat (hot combs/hair straighteners, hair dryers and curling irons)
- Traction (tight braids/cornrows, weaves, ponytails, hair extensions)
- Chemical relaxers (especially lye relaxers).
What triggers scarring alopecia?
Scarring alopecias are typically caused by inflammation that results in destruction of the hair follicle leading to irreversible hair loss. If the condition is treated early in the disease course, it is sometimes possible to regrow hair.
Is Cicatricial alopecia reversible?
Secondary cicatricial alopecia is also irreversible, though destruction of the hair follicle is incidental to a non-follicle-directed cause, such as thermal burns, metastatic cancer, trauma or radiation. This article will focus on primary cicatricial alopecia.
How quickly does alopecia spread?
People with alopecia areata typically have smooth, round patches of complete hair loss that develop over a period of a few weeks, followed in most cases by regrowth over several months (picture 1).
Can alopecia go away on its own?
Alopecia areata (AA) causes hair loss in small, round patches that may go away on their own, or may last for many years. Nearly 2% of the U.S. population (about four million people) will develop AA in their lifetime.