Central Centrifugal Cicatricial Alopecia (CCCA)


What is CCCA?

Central Centrifugal Cicatricial Alopecia (CCCA) is a form of hair loss, commonly seen in women, and sometimes men, of African descent. This is one of the top reasons why African- Americans seek dermatologic evaluation.

What causes CCCA?

The exact cause of CCCA is unclear, but is thought to be due to a variety of factors. These include a history of intense heat or tight hairstyles to the scalp or the application of chemical relaxers and dyes. These hair grooming practices could have occurred as far back as during childhood or teenage years. CCCA can also be triggered by the intrinsically curly nature of African hair follicles. It is not clear why CCCA only affects some individuals with curly hair, but there appears to also be a genetic component triggering the disease. It is oftentimes seen in multiple family members.

What are the symptoms of CCCA?

People with CCCA often report burning, itching, tenderness or tiny bumps on the scalp, that usually occurs on the top of the head and gradually spreads outwards. In the early stage, there may be no visible hair loss, or the hair stands may be fragile and break easily when pulled.

How can I treat CCCA?

CCCA is a complex disorder with a treatment regimen that fights the hair loss from a multidirectional approach. This includes:

  • Topical medications to easy the inflammation of the scalp
  • Oral anti-inflammatory medications
  • Vitamin and nutrient supplementation
  • Lifestyle changes in hair -grooming practices
  • Scalp Injections
  • PRP
  • Hair transplantation


When should I seek treatment for hair loss?

If you think you have CCCA, or any other type of hair loss or alopecia, make an appointment ASAP with Dr. Ife Rodney, a board-certified dermatologist and hair expert!. Time is of the essence when it comes to hair loss. If there is timely intervention, very significant improvement can be seen.

Before and After Treatment


Eternal Dermatology
11711 E Market Place, Suite 100
Fulton, MD 20759
Phone: 301-679-5772
Fax: 240-654-0408
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