Brief Answer:
intralesional steroids, hair transplant

Detailed Answer:
Hello XXXXXXX
Thank you for posting on HCM.
Central centrifugal scarring/cicatricial alopecia(CCCA) is a term given to a peculiar pattern of hairfall or alopecia. Here the classically the hairfall starts from center of scalp (Vertex/crown) and then gradually progresses around in centrifugal pattern.
This form of alopecia is typically more common in people from XXXXXXX XXXXXXX origin and especially in women of middle age.
The exact cause of CCCA is poorly understood. Certain factors have been implicated in the development of CCCA including,certain hair care habits and procedures like thermal straightening (blow drying and curling irons), traction or excessive tension on the hair, chemical straightening (relaxers), and infection. However, there is no conclusive evidence proving a direct causative relationship between any of these factors and CCCA.

Sadly, as of now there is no proven treatment of choice for CCCA and no treatment is upto the mark in providing fruitful results.

Life style modification still remains important part of treatment.
Avoidance of hairstyles that produce tension or pulling of the hair is paramount. Patients should be advised to stay way from tight braids, heavy extensions. The frequency of chemical relaxers should be decreased. Avoid harmful hair colors.

Intralesional steroids at monthly injections at the edge of scarring may help to reduce the scarring along with topical corticosteroids and topical immunomodulators like tacrolimus or pimerolimus.

Oral antibiotics such as tetracycline may be used.

Topical minoxidil – either the 2% and 5% solution/foam may be used to stimulate hair that is in the recovery phase along with hair growth enhancing peptides can be tried.



Mesotherapy where hair growth factors are directly injected into scalp can also be tried out.

Camouflage techniques: wigs, color sticks or crayons, micropigmentation

At last hair transplant can be done with limited results.

Hope you find this answer useful,
Let me know if I can help you more in any way,
Thank you
Dr Hardik Pitroda
M.D Dermatology

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