Here is yet another case study involving Samira, who was diagnosed with a condition known as central centrifugal cicatricial alopecia. In this case study, we will be elaborating on how we diagnosed this condition, went about the treatment and how Samira recovered from the same.

When Samira first came to us, we noticed that she had bald patches on her head. After close examination, we were able to see the scarring, which allowed us to decide that her condition was what we call central centrifugal cicatricial alopecia (CCCA) after scalp Biopsy. This is another version of scarring alopecia, and is most commonly seen in women of middle age.

While the exact cause for CCCA is yet to be known, there are certain habits that are known to lead to this condition. In Samira’s case, we were able to observe that she had a lifestyle, wherein she regularly used hot irons to straighten her hair, had tight extensions fitted and even braided her hair in tight hairstyles.

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(There are certain other factors, which lead to CCCA too and these include infections, genetics and autoimmune conditions as well. In a few cases, it has been observed that people who are suffering from type 2 diabetes, are also prone to CCCA.)

We were able to diagnose the case with certainty, when we observed the hair loss in the middle of the scalp. When we examined the scalp, we noticed that there were minimal follicular openings and the scalp looked quite shiny. Samira also complained of itching and a burning sensation. A skin biopsy confirmed our diagnosis and we were able to start her off on a medication course.

Normally, the medicines that we prescribe include:

 

Medication	Specification
Strong topical steroids	Clobetasol
Tetracyclines	Doxycycline
Calcineurin inhibitors	pimecrolimus cream or tacrolimus ointment
Cyclosporin
Hydroxychloroquine

We did a transplant procedure to ensure that Samira’s hairline was returned to normal? In addition, we also advised her to reduce the usage of blow dryers and hair straighteners and maintain a hair style that was more relaxed.