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Living with Central centrifugal cicatricial alopecia

A rare hair-loss disease that scars the scalp, mostly affecting women of African ancestry.

Understanding Central centrifugal cicatricial alopecia

Central centrifugal cicatricial alopecia is a rare hair-loss disease that causes scarring of the scalp.

It affects women of African ancestry. It may be linked to hair-grooming habits or run in families. It often begins in adulthood with hair breaking for no clear reason. Hair then thins at the top of the scalp and spreads outward. The scalp may show inflammation, damage to hair follicles, and scarring (fibrosis).

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. Its summary describes these features:

  • Hair breaking for no clear reason
  • Thinning hair at the top of the scalp
  • Hair loss spreading outward
  • Scalp inflammation
  • Scalp scarring

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Scarring Alopecia Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What hair-care habits might help protect my scalp?
What treatments can slow hair loss?
Should I see a skin specialist (dermatologist)?

Quick facts

InheritanceAutosomal Dominant

GARD says it may be linked to hair-grooming habits or may run in families. It is listed as inherited in an autosomal dominant way. No specific gene is listed.

Also known as: ccca; hot comb alopecia

Patient organizations

Source: NIH GARD · Central centrifugal cicatricial alopeciaGARD ID 10826 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Central centrifugal cicatricial alopecia.

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Explore actively recruiting Central centrifugal cicatricial alopecia studies with HealthSpark.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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