Systemic Comorbidities in Central Centrifugal Cicatricial Alopecia: A Systematic Review and Meta-analysis

    August 2026 in “ Acta Dermato Venereologica
    Juan Luís Sanz-Cabanillas, Francisco José Gómez-García, Benjamin Ungar, Elena Sanz, Jesús Gay-Mimbrera, Beatriz Isla-Tejera, Antonio Vélez García‐Nieto, Emma Guttman‐Yassky, Juan Ruano
    This systematic review and meta-analysis examined the link between central centrifugal cicatricial alopecia (CCCA) and systemic comorbidities in 9,103 patients across 23 studies. It found a high prevalence of hypertension (51.9%), dyslipidemia (58.4%), obesity (37.1%), and uterine leiomyomas (28.0%) among CCCA patients. Significant associations were identified between CCCA and dyslipidemia, uterine leiomyomas, and anxiety disorders, while links with hypertension, obesity, and thyroid disease were inconsistent. The study emphasizes the need for holistic, individualized clinical assessments for CCCA patients, noting that most studies were retrospective and U.S.-based, leading to methodological heterogeneity.
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