Crewe Hair and Skin Clinic

What is CCCA?


This is a form of permanent hair loss which is more commonly seen in black women.  It is thought to affect 1 in 20 women of African descent.

However, it can rarely be found in men and people with other hair types. Women in their middle years are most commonly affected. Hair loss is seen typically at the top of the head, and the hair loss  spreads outwards across the top of the scalp. The scalp may appear shiny. While some people don’t have symptoms, tenderness itch and burning are common.  Hair breakage may also be an early sign seen in this is  most serious condition for black women, and it is really important to take action quickly. 

What causes CCCA?

This condition can run in families and a variant gene PADI3 has been implicated in its cause.  Hair care practices have been associated with the condition. 

Further details can be found in some of the written content produced for  others by the Clinic Director.

How can Crewe Hair and Skin Clinic help?

The evidence base on this condition has been progressing internationally, so the advice you will be given will depend on the information available at the time.  This clinic offers the ability to talk through your options.

The clinic will document the hair loss condition using TrichoLab to help to   monitor the condition.  You will be advised to seek the advice of a dermatologists specialising in hair loss.


This condition is not well known among GPs at the moment, but hopefully this situation will change as awareness increases about the condition.  The clinic director has written an article for the Primary Care Dermatology Society about this condition to help educate GPs.

it is important to be referred to a dermatologist with experience in treating this condition, and you will receive advice on the best way to ensure this.

Evidence is emerging from the USA about the potential use of Platelet Rich Plasma.  The aim of treatment is to stop or slow down progression of the disease. In some cases there is a small chance of regrowth if the hair follicle is not permanently damaged.

There may be other ways the clinic can help including sources of information, advice on medication, hair care, scalp camouflage and bespoke custom made wigs.

Crewe Hair and Skin clinic also   offers protein and moisturising treatments for Afro-textured hair.

The Trichological Society
Click here to find out more about CCCA in an article on the website of The Trichological Society
Crewe Hair and Skin Clinic 110 Nantwich Road Crewe, Cheshire, CW2 6AT Company Number 1089 4687
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