Treatments for CCCA Minoxidil might help stimulate hair growth from follicles that are not scarred from CCCA. You must take a medication that gets rid of inflammation, along with Minoxidil, to stop hair loss.
Central centrifugal cicatricial alopecia (CCCA)
Starting treatment early can prevent CCCA from spreading outward and causing more permanent hair loss. Some people also have hair regrowth when treatment starts early. Early treatment is important because this disease destroys hair follicles.
The exact cause of CCCA is unknown and is likely multifactorial. A genetic component has been suggested, with a link to mutations of the gene PADI3, which encodes peptidyl arginine deiminase, type III (PADI3), an enzyme that modifies proteins that are essential to formation of the hair-shaft.
Topical Minoxidil solution or foam
Applying 2% or 5% minoxidil solution/foam to the affected areas on the scalp twice daily may stimulate hair growth. Continue treatment until you are happy with the growth and, as long as the traction has been stopped, the minoxidil can be discontinued.
Generally speaking, it's never too late to fix traction alopecia. The condition can be treated at any point – whether you're in the early stages or a more advanced phase.
[9] CCCA, at its end stages, is irreversible, as the follicular epithelium has been replaced by connective tissues. [12] Additionally, pustules and crusting may be found in patients with superimposed folliculitis decalvans.
So dead hair follicles can look like a smooth, bald patch of skin or like a scar. A trichologist may be able to get a better view of your follicles by using a microscope or other trichological tools.
Testing for vitamin D deficiency should be considered in patients with alopecia due to its high prevalence. While supplementation is controversial, we recommend giving cholecalciferol 50,000 IU once weekly for 12 weeks followed by 2,000 IU daily.
These results support previous findings showing hair regrowth with topical metformin in central centrifugal cicatricial alopecia. Metformin's potential to reduce fibrosis and inflammation may explain its therapeutic effects in central centrifugal cicatricial alopecia and other fibrotic hair loss disorders.
It's usually the result of inflammatory or autoimmune disorders. Sometimes it's due to skin injuries, burns or certain medical treatments. Scarring alopecia causes permanent hair loss because hair can't regrow after the follicle is destroyed.
Studies have indicated that metformin stimulates autophagy and stem cell proliferation in hair follicle cells, which are important for hair regrowth. Metformin has been shown to stimulate hair growth both in vivo in cicatricial alopecia and in vitro settings.
Oral doxycycline (or other tetracycline antibiotics) up to 200 mg per d is appropriate (alone or in combination) up to 6 mo in the treatment of adults with active CCCA. Oral antibiotics are appropriate (alone or in combination) for treatment of adults with active CCCA. CCCA, Central centrifugal cicatricial alopecia.
What is the age of onset of CCCA? The onset of CCCA is very slow, typically developing over the course of years. Patients usually present with thinning and balding of the scalp in their second to fourth decade of life.
If you damage your hair follicles after an injury, they can repair themselves and your hair will grow back. It could take up to four years before you see new hair growth out of damaged hair follicles, depending on the severity of your injury.
A hair loss medication may be the solution to your dying hair follicles. There are several types of options available. First, there is minoxidil, a type of topical treatment you can purchase over the counter. This one works by stimulating blood flow to the scalp, which can help revive dying follicles.
Hair care practices: hair straightening using hot combs (straighteners) and chemical relaxers (lotion or cream to alter the hair texture), tight hairstyles, braids and weaves have all been suggested as increasing the risk of developing CCCA; however, not all studies have found this link.
Hair loss or thinning: A damaged hair follicle will be unable to create a strong piece of hair. Consequently, hair will become thin, brittle, and weak. You might notice that it's breaking more frequently than it would or altogether falling out. Breakage can be a direct result of this.
Herbal supplements, essential oils, and scalp massages can help combat hair loss caused by PCOS. A balanced diet with adequate nutrients is crucial for maintaining healthy hair. Managing stress, exercising regularly, and maintaining a healthy weight can promote hair health in individuals with PCOS.
Castor hair oil, specifically Jamaican black castor oil (JBCO), is the best option for restoring damaged edges. A daily or weekly (depending on the severity of your need for edge regrowth) deep temple massage with the oil will greatly improve circulation and stimulation of the hair follicle.