CCCA vs Crown Breakage 2019

Описание: Welcome!
This video is based on my experience with being diagnosed with CCCA in May 2019 and my signs and symptoms. The video is meant to be informative and is in no way inclusive. I felt that it was really important for me to share this to help others and myself.

Please do not self diagnose or rely on YouTube for this one! I have textbook CCCA and missed it thinking I had what someone else had and assumed it was solely Crown Breakage or Crown hairloss that could be fixed with deep conditioning and TLC. No.

Subscribe to follow my process. I am not a YouTuber, I am a Registered Nurse and currently in grad school for my DNP. My next appointment is July 2019 and I will post a follow up then! I’ll try my best to answer any questions as well as take any advice! 😁

My IG is jhenrn_

6/28/2019 follow up vid below
   • CCCA Hair Update #1 - June 2019  

CCCA SUMMARY AND RECOMMENDATIONS from UpToDate.com - trusted medical source

●Central centrifugal cicatricial alopecia (CCCA) is a form of cicatricial (scarring) alopecia that presents with centrifugal spread of hair loss that begins on the crown or vertex of the scalp. Most patients diagnosed with CCCA have been women of African descent with hair that grows in a tightly curled configuration. However, men may also be affected.

●A variety of alternative terms were used to refer to CCCA in the past. Examples include hot comb alopecia, follicular degeneration syndrome, chemically induced cosmetic alopecia, and central centrifugal scarring alopecia.

●The pathogenesis of CCCA is not well understood, and the inciting factors are unclear. Although certain hair care practices that can be damaging to the hair and scalp have been proposed as inciting factors for CCCA, a relationship between hair care practices and CCCA remains to be proven. In a subset of patients, mutations in the PADI3 gene may contribute.

●CCCA usually begins as a subtle patch of partial hair thinning on the crown or vertex of the scalp. Over time, the zone of hair loss expands in a centrifugal pattern, with the most severe hair loss remaining in the center. Clinical signs of inflammation, such as papules, pustules, erythema, and scale, may or may not be present. The presence of pain, itching, tenderness, or other dysesthesias in the involved area is variable.

●A diagnosis of CCCA should be suspected in patients who present with centrifugally expanding hair loss on the central scalp, particularly when the patient is a woman of African descent. Because other forms of alopecia may clinically resemble CCCA, performance of a scalp biopsy is recommended to confirm the diagnosis.

●Data are limited on the treatment of CCCA, and there are no established treatment guidelines. Support for the various treatment options for CCCA is primarily derived from the recommendations of clinicians experienced in the treatment of hair and scalp disease. (See 'Treatment' above.)

●For patients with mild CCCA (small area of hair loss, slow progression, and minimal clinical signs of inflammation), we suggest initial treatment with a high-potency topical corticosteroid (Grade 2C). For patients with more extensive disease (or with mild disease that fails to respond to corticosteroid therapy alone), we suggest the addition of an oral tetracycline-class antibiotic to this regimen (Grade 2C). Our experience suggests that intralesional corticosteroid injection may be a useful adjunct to these therapies, particularly in patients with visible signs of inflammation.

Reference: UpToDate.com