The Many Faces of Central Centrifugal Cicatricial Alopecia (CCCA)
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Unique characteristics of Central Centrifugal Cicatricial Alopecia (CCCA) range from hair breakage and thinning to follicular dropout and scarring to pinpoint papules within areas of new onset scarring.
Central centrifugal cicatricial alopecia (CCCA) is a progressive scarring alopecia affecting 3-6% of middle-aged, almost exclusively, Black women. CCCA classically presents as a patch of hai …
Unique characteristics of Central Centrifugal Cicatricial Alopecia (CCCA) range from hair breakage and thinning to follicular dropout and scarring to pinpoint papules within areas of new onset scarring.
Central centrifugal cicatricial alopecia (CCCA) is a progressive scarring alopecia affecting 3-6% of middle-aged, almost exclusively, Black women. CCCA classically presents as a patch of hai … Continue reading "The Many Faces of Central Centrifugal Cicatricial Alopecia (CCCA)"
Before concluding a patient with thinning edges has traction or androgenic alopecia, take a closer look at the scalp, face, and other hair bearing areas of the body to complete the picture. You might be missing signs and symptoms of Frontal Fibrosing Alopecia. As seen in the images, FFA can have various presentation patterns on different skin tones and hair textures.
Frontal Fibrosing Alopecia … 
Did you know that psoriasis doesn’t just present on the arms, legs, and trunk? It can also appear in non-conventional locations (aka “special site” psoriasis) including the scalp, face, and body folds (such as the axillary, inframammary, and inguinal fields, and intergluteal clefts). In the skin folds, psoriasis is also referred to as “inverse psoriasis.” In darker skin types, the areas … 
Psoriasis affects 2% of the world’s population and occurs in a bimodal distribution, peaking in early and late adulthood. Chronic plaque psoriasis is the most common variant and presents as well demarcated erythematous plaques with prominent white scale on the scalp and extremities.
The erythema of psoriasis varies across the spectrum of skin tones, ranging from a salmon and deep reddish … 
Our new series, “The Many Faces of”, showcases side-by-side images of some of the most commonly seen dermatology conditions in an array of skin tones and briefly highlight nuances in clinical presentation. All images featured in the series are part of The Full Spectrum of Dermatology: A Diverse and Inclusive Atlas, a resource developed by co-editors Misty Eleryan, MD, MS, and Adam Friedman, … 