Central centrifugal cicatricial alopecia is the most common scarring alopecia in African American females.
Clinically this presents as a central area of progressive hair loss that extends to the periphery.
Many complain of pain, itching and altered sensation over the affected area. It can cause permanent loss due to the destruction of hair follicle by inflammation.
If this is caught and treated early, it can be possible to regenerate the follicles before the scaring is permanent.