Central Centrifugal Cicatricial Alopecia in Males: Analysis of Time to Diagnosis and Disease Severity

This study investigated the time to diagnosis and disease severity of central centrifugal cicatricial alopecia (CCCA) in males, focusing on a retrospective chart review of 12 eligible male patients over 18 years old. The findings revealed significant diagnostic delays, with 72.7% of patients diagnosed more than 1 year after onset and 45.4% diagnosed over 5 years after onset. Nearly all patients (91.7%) presented with a CCCA severity grade of 3 or higher, indicating extensive hair loss. The study highlights the need for increased recognition of CCCA in men and suggests that early diagnosis and treatment could improve outcomes. The research was limited by a small sample size and the use of a photographic scale not validated for men.