Central centrifugal cicatricial alopecia

  • Lymphocytic primary cicatricial alopecia that most commonly affects women of sub Saharan African descent
  • Hair loss typically begins at the vertex and progresses outward in an insidious, centrifugal manner
  • DDx: androgenetic alopecia
  • Sinais de atividade na dermatoscopia são difíceis de ver, não são óbvios, dificultando o tratamento
  • Link to hairstyling practices is unclear but may be an aggravating factor
  • Increased prevalence of diabetes, fibroids. Associação com hairstyling techniques não ficou confirmada.
  • Tratamento:
    • Muitas vezes corticoides locais ou intralesionais indefinidamente
    • Overt infammation is rare, but when present, options include oral antibiotics (doxycycline), mycophenolate mofetil, hydroxychloroquine
    • Minoxidil if evidence of concomitant androgenetic alopecia
    • Healthy hair care practices!