Central Centrifugal Cicatricial Alopecia and the Use of Xtressé Nutrient Supplement: A Case Series.
Bethel Desta, Madeliene Gainers, Chesahna Kindred
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Case in brief
The report describes two cases of central centrifugal cicatricial alopecia (CCCA), a scarring hair-loss condition that typically begins at the crown and spreads outward. CCCA is predominantly observed in African American women, and available treatments, including corticosteroids and oral tetracyclines, may produce only modest responses. Both patients were treated with the Xtressé nutrient supplement, and the authors reported notable improvement. The abstract does not provide further patient details, outcome measures, or treatment duration.
What made this case unusual
The report describes improvement in two CCCA cases treated with a nutrient supplement, an approach distinct from the corticosteroids and oral tetracyclines noted as current treatment options.
Diagnostic / clinical pearl
CCCA causes permanent scarring hair loss, typically beginning at the crown and spreading centrifugally; recognize this pattern when assessing scalp hair loss.