Central centrifugal cicatricial alopecia

Key Steps for Conducting a Hair & Scalp Exam
Hair and Scalp ExamRonda S. Farah, MD, FAAD, knows the impact of hair and scalp disorders on patients’ quality of life. Dr. Farah is an associate of professor of dermatology at the University of Minnesota and founder of Alluma Dermatology. For Dr. Farah, quality care begins with a thorough hair and scalp exam. In this Next Steps in Derm video interview, conducted in partnership with the ODAC Dermatology Conference …
Hair and Scalp Exam
Alopecia in Pediatric Patients with Kinky/Curly Hair
Pediatric alopecia in curly hairPediatric alopecia in children with kinky or curly hair presents unique diagnostic and management challenges. In a case-based session, Dr. Kenner-Bell reviewed common causes of hair loss in this population and highlighted the importance of early recognition, culturally sensitive counseling, and avoiding premature closure on traction alopecia as a diagnosis. Case 1: Trichotillomania Trichotilloma …
Pediatric alopecia in curly hair
Underdiagnosed and Undertreated: Pediatric Dermatology Pearls for Skin of Color
pediatric dermatology skin of colorDiagnosing and treating pediatric patients with skin of color requires a nuanced eye and an understanding of unique psychosocial dynamics. At the latest Skin of Color Update (SOCU) conference, Dr. Karan Lal addressed these exact complexities. Written from the perspective of an attending dermatology resident, this summary breaks down Dr. Lal’s essential pearls across three major domains: pigmente …
pediatric dermatology skin of color
JDD Buzz Series | Patient Perspectives on Scalp Biopsies for CCCA
A graphic featuring the text 'PATIENT PERSPECTIVES ON SCALP BIOPSIES FOR CCCA' over a microphotograph of a scalp biopsy sample showing inflammatory cells around a hair follicle.Scalp biopsies are an important tool in diagnosing central centrifugal cicatricial alopecia (CCCA), especially in atypical presentations where making an accurate diagnosis through other means is challenging. Even though a biopsy-confirmed diagnosis could lead to hair-saving treatment, hair loss patients sometimes balk at the recommendation to biopsy. The authors of a brief communication published …
A graphic featuring the text 'PATIENT PERSPECTIVES ON SCALP BIOPSIES FOR CCCA' over a microphotograph of a scalp biopsy sample showing inflammatory cells around a hair follicle.
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 …