Central scalp alopecia photographic scale in AfricanAmerican women

Olsen, Elise A.; Callender, Valerie D.; Sperling, Leonard C.; McMichael, Amy J.; Anstrom, Kevin J.; Bergfeld, Wilma F.; Durden, Faith; Roberts, Janet L.; Shapiro, Jerry; Whiting, David

doi:10.1111/j.1529-8019.2008.00208.x

Cited by 59 publications

(52 citation statements)

References 7 publications

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“…75 The Central Scalp Alopecia Photographic Scale (Fig. 5) 38 can be used to assess the severity of disease. Histopathological findings (Figs 10 and 11) 47,65 include reduced number of terminal anagen follicles, with loss of sebaceous glands, concentric perifollicular fibrosis, compound follicles and eccentric follicular epithelial atrophy.…”

Section: Central Centrifugal Cicatricial Alopeciamentioning

confidence: 99%

Hair and scalp disorders in women of African descent: an overview

2013

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Section: Central Centrifugal Cicatricial Alopeciamentioning

confidence: 99%

Hair and scalp disorders in women of African descent: an overview

2013

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“…The severity of this variety cannot be classified using the available central scalp alopecia photographic scale [1]. In women of African descent who complain of hair loss but are reluctant to remove the braids or weaves, the scalp cannot be properly evaluated for CCCA, and their disease may be misdiagnosed as traction alopecia.…”

Section: Discussionmentioning

confidence: 99%

“…Central centrifugal cicatricial alopecia (CCCA) is the most common cause of scarring alopecia among women of African descent [1]. It was first described by Lo Presti et al [2 ]in 1968 as ‘hot comb alopecia' or irreversible alopecia of the scalp in black women using hot petrolatum while hot combing.…”

Section: Introductionmentioning

confidence: 99%

“…The North American Hair Research Society (NAHRS) created the name CCCA in 2011 to specifically reflect the characteristic central pattern of spreading hair loss. A central scalp alopecia photographic scale ranging from 0 to 5 is utilized to accentuate the more severely affected anatomical area: the frontal scalp (A subtype) or the vertex (B subtype) [1]. …”

Section: Introductionmentioning

confidence: 99%

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Central Centrifugal Cicatricial Alopecia Presenting with Irregular Patchy Alopecia on the Lateral and Posterior Scalp

Miteva¹,

Tosti²

2015

Skin Appendage Disord

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Background: Central centrifugal cicatricial alopecia (CCCA) is the most common cause of scarring alopecia among women of African descent which affects the central scalp and spreads centrifugally but spares the lateral and posterior scalp. Objectives: The objective of this study is to report on a new clinical variety of CCCA presenting with patchy alopecia involving the lateral and posterior scalp in addition to the central scalp. Materials and Methods: We reviewed the medical records and the clinical, dermatoscopic and pathologic data of 14 African-American women with CCCA presenting with patchy alopecia. Results: Two patients had individual well-delineated patches of hair loss, and 12 patients had multiple irregular patches of hair loss. In all cases, the alopecia affected the lateral and posterior scalp in addition to the central scalp. Four patients had a history of traumatic hairstyles, and 10 patients were also affected by marginal traction alopecia. On dermatoscopy, the patches showed peripilar white-gray halos and broken hairs. The pathologic diagnosis of CCCA was based on the following features: follicular dropout, absent or only focally preserved sebaceous glands, premature desquamation of the inner root sheath and perifollicular fibrosis with mild inflammatory infiltrate. Conclusion: CCCA can present with patches of hair loss involving the parietal and posterior scalp in addition to the central scalp. Without dermatoscopy and pathology, this variety can be easily misdiagnosed as traction alopecia.

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“…Using the Central Scalp Alopecia Photographic Scale, she was graded as level III-A (Fig. 1) [2]. Two 4-mm punch biopsies of the scalp were read as scarring alopecia with minimal inflammation, consistent with LPP.…”

Section: Case Reportmentioning

confidence: 99%

Cicatricial Alopecia in Identical Twin Lumbee Native American Women

Strowd

Subash

McGregor

et al. 2017

Skin Appendage Disord

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Central centrifugal cicatricial alopecia (CCCA) has become a well-known entity occurring mainly in African-American women, but is rarely encountered in other populations. This report describes a set of identical twin Lumbee Indian women, both developing cicatricial alopecia, with one sister diagnosed with CCCA overlap with lichen planopilaris and the other with CCCA. The Lumbee Tribe is a federally recognized group of Native Americans who reside in North Carolina. Lumbee Indians have shown an increased incidence of several metabolic and neurologic diseases but cicatricial alopecia has never been an identified associated disease of the Lumbee. Thus far, no published studies have shown cicatricial alopecia as occurring in identical twins or in Native Americans. This case report discusses the issues of haircare practices and genetics in contributing to cicatricial alopecia.

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Central scalp alopecia photographic scale in AfricanAmerican women

Cited by 59 publications

References 7 publications

Hair and scalp disorders in women of African descent: an overview

Hair and scalp disorders in women of African descent: an overview

Central Centrifugal Cicatricial Alopecia Presenting with Irregular Patchy Alopecia on the Lateral and Posterior Scalp

Cicatricial Alopecia in Identical Twin Lumbee Native American Women

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