What should you know about central centrifugal cicatricial alopecia in skin of colour?

CCCA is a scarring type of hair loss that commonly starts near the centre of the scalp and expands outward. Hair may become less dense, and the scalp can feel itchy, tender, burning, or unusually smooth. Some people have few symptoms, so gradual change in photographs or hairstyles can be useful to notice.

Because inflammation can destroy follicles, hair may not regrow from areas that have become scarred. A dermatologist may examine the scalp closely, review hair-care practices, and take a biopsy when the diagnosis is uncertain. Other causes of hair loss can occur at the same time.

Book a dermatology assessment for widening crown thinning, scalp discomfort, or broken hairs that persist. Reduce tight braids, extensions, chemical irritation, and high heat if they worsen symptoms. Use gentle cleansing and avoid scratching; follow prescribed anti-inflammatory treatment consistently when offered.

Arrange faster review if hair loss is accelerating, the scalp is painful or crusted, or there is pus, marked redness, or tenderness. Sudden patchy loss or loss outside the crown also deserves assessment because it may suggest another or additional condition.

Ask whether the follicles show active inflammation or scarring, whether a biopsy is needed, which styling changes may reduce irritation, and how progress will be monitored with scalp examinations or photographs.