Central centrifugal cicatricial alopecia (CCCA) is a form of cicatricial alopecia where the area of thinning is at the center of their scalp which gradually enlarges and spreads outward with few solitary hairs remaining. It typically occurs in women of African descent and presents in individuals 25 to 65 years of age. In some cases, hair loss is associated with itching, burning, tenderness, tingling or even pain. Hair breakage and traction alopecia could be associated with CCCA.
resembles another form of patchy hair loss – alopecia areata. It affects both men and women and the distribution of alopecic patches may seem like “footprints in the snow”. It is an asymptomatic, non-inflammatory disease with either small oval or large irregular patches of hair loss located in the central scalp area usually at the highest point of the scalp. The skin is usually moderately atrophied. Most cases of pseudopelade of Brocq represent the end stage of LPP, DLE, or folliculitis decalvans.