Central centrifugal cicatricial alopecia

Friday Pop Quiz 11/12/2025
A 40-year-old female presents for a scalp biopsy. On histology, you note premature desquamation of the inner root sheath, eccentric epithelial atrophy with hair shafts in close proximity to the dermis, and concentric lamellar fibroplasia of some follicles. There is variably dense lymphocytic perifollicular inflammation, primarily at the level of the upper isthmus and lower infundibulum. There …
Diagnosing Alopecias: Key Elements and Insights from Clinical Cases
AlopeciaHair loss is a common yet complex condition that presents a significant challenge for both patients and dermatologists alike. Accurate diagnosis and effective management often require a meticulous and nuanced approach that enables the physician to discern subtle clues that distinguish between various etiologic forms of alopecia. At the 2025 Orlando Dermatology, Aesthetic, and Surgical Conference, …
Alopecia
Comprehensive Insights on Scarring Alopecias in Skin of Color
alopeciasTreating scarring alopecias in patients with skin of color requires a nuanced understanding of their unique clinical features and challenges. Dr. Susan Taylor, Professor of Dermatology at the University of Pennsylvania Perelman School of Medicine (@drsusantaylor), President-Elect of the American Academy of Dermatology (AAD), and founder of the Skin of Color Society, has devoted her career to impro …
alopecias
JDD Buzz Series | Minoxidil for Scarring Alopecia: Is it Safe and Effective?
minoxidilTopical minoxidil and, more recently, low-dose oral minoxidil are often used to treat hair disorders. But are these treatments safe and effective for scarring alopecia? A scoping review published in the March issue of the Journal of Drugs in Dermatology sought to determine what research says about the use of these treatments for central centrifugal cicatricial alopecia, frontal fibrosing alopecia, …
minoxidil
Trichoscopy Clues for Diagnosing Common Hair Disorders
TrischoscopyTrichoscopy is a handy dermoscopic tool that can be used at the bedside to diagnose multiple hair diseases. However, these hair diseases may be challenging to diagnose by the untrained eye. Fortunately, we had the opportunity to train these skills at ODAC 2023 with hair expert and dermatologist Dr. Amy McMichael, Professor of Dermatology at Wake Forest University. We will review the essentials of …
Trischoscopy