CASE STUDY 001
Supportive Trichological Care in a Patient with CCCA
Central Centrifugal Cicatricial Alopecia (CCCA)
Single-patient observational documentation of supportive scalp and hair care provided alongside—not in place of—medical management for previously diagnosed CCCA.
Photographs were selected and cropped for framing and privacy, without scalp or hair appearance retouching. Lighting, angle, hair styling and length were not standardized and can affect apparent density.
Supportive care approach
Trichological scalp and hair assessments at each visit; review of client-provided information within professional scope; nutrition and lifestyle education; referral or coordination with licensed professionals as appropriate; individualized topical protocol and micro-mist/steam care; and serial photographic monitoring.
Observed outcome
Comparison of the October 5, 2024 baseline with August 2026 follow-up photographs showed increased visible hair coverage and reduced scalp exposure in portions of the central and vertex scalp, with residual thinning at the crown.
Read clinical context and limitations
Clinical interpretation
Visible improvement does not show regeneration of follicles destroyed by scarring. Findings describe increased visible coverage during coordinated supportive care, not histological reversal of scarring alopecia.
Limitations
This is a single-patient, uncontrolled observational case with concurrent interventions; individual effects cannot be isolated. Photography was not standardized and no trichoscopic or other quantitative measurements were used.
For referring clinicians
Shared to support continuity of care and communication with treating clinicians. It does not substitute for dermatologic assessment of disease activity or justify conclusions about medical disease status without direct clinical evaluation.