Central centrifugal alopecia (CCCA) can present at various stages with unique characteristics ranging from hair breakage and thinning, to significant follicular dropout and scarring. During flares, a “spongy” like edema can be noted upon palpation. The presence of a peripilar white halo is a dermatoscopic feature that suggests the diagnosis of CCCA.

Patients with CCCA often present with tiny bumps and a shiny appearance of the scalp, which can be seen here.

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