{"id":198,"date":"2025-08-02T06:06:12","date_gmt":"2025-08-02T06:06:12","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=198"},"modified":"2025-08-02T06:32:19","modified_gmt":"2025-08-02T06:32:19","slug":"alopecie-cicatricielle-centrale-centrifuge-ccca","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/dermatologie\/maladies-des-cheveux-et-du-cuir-chevelu\/alopecie-cicatricielle\/alopecie-cicatricielle-centrale-centrifuge-ccca\/","title":{"rendered":"\ud83c\udf10 Alop\u00e9cie cicatricielle centrale centrifuge (CCCA)"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">\ud83e\uddec D\u00e9finition<\/h2>\n\n\n\n<p>La CCCA est une forme d\u2019<strong>alop\u00e9cie cicatricielle chronique<\/strong>, touchant pr\u00e9f\u00e9rentiellement les femmes africaines. Elle d\u00e9bute au <strong>sommet du cr\u00e2ne (vertex)<\/strong> et s\u2019\u00e9tend progressivement <strong>de mani\u00e8re centrifuge<\/strong>. Le processus inflammatoire destructeur aboutit \u00e0 une <strong>perte permanente des follicules pileux<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc64 \u00c9pid\u00e9miologie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Surtout chez la <strong>femme noire adulte<\/strong>, \u00e0 partir de 30\u201340 ans<\/li>\n\n\n\n<li>Rare chez l\u2019homme<\/li>\n\n\n\n<li>Facteurs associ\u00e9s : <strong>pr\u00e9disposition g\u00e9n\u00e9tique<\/strong>, <strong>pratiques capillaires agressives<\/strong>, inflammation chronique<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd0d Pr\u00e9sentation clinique<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Perte de cheveux progressive<\/strong> au vertex, avec extension p\u00e9riph\u00e9rique<\/li>\n\n\n\n<li>Cuir chevelu lisse, brillant, avec <strong>atrophie cicatricielle centrale<\/strong><\/li>\n\n\n\n<li><strong>\u00c9ryth\u00e8me p\u00e9rifolliculaire<\/strong>, squames, folliculite possible en p\u00e9riph\u00e9rie active<\/li>\n\n\n\n<li>Prurit, douleur ou sensation de br\u00fblure fr\u00e9quents<\/li>\n\n\n\n<li>Zones cicatricielles indolores en phase tardive<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcf8 Trichoscopie<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Absence d\u2019orifices folliculaires<\/strong> dans les zones centrales<\/li>\n\n\n\n<li><strong>Collerettes blanches p\u00e9rifolliculaires<\/strong>, <strong>vaisseaux dilat\u00e9s<\/strong><\/li>\n\n\n\n<li><strong>Cheveux en touffe r\u00e9duite<\/strong>, miniaturisation folliculaire p\u00e9riph\u00e9rique<\/li>\n\n\n\n<li>Pr\u00e9sence de points blancs (fibrose)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea Diagnostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Clinique et trichoscopique \u00e9vocateurs<\/strong><\/li>\n\n\n\n<li><strong>Biopsie<\/strong> utile pour confirmation : inflammation lymphocytaire p\u00e9rifolliculaire, fibrose concentrique<\/li>\n\n\n\n<li>\u00c9liminer autres causes d\u2019alop\u00e9cie cicatricielle (lichen plan, lupus disco\u00efde)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a Traitement<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Objectifs : freiner l\u2019\u00e9volution, limiter l\u2019inflammation, pr\u00e9server les follicules encore actifs<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cortico\u00efdes topiques puissants<\/strong> ou intral\u00e9sionnels (triamcinolone)<\/li>\n\n\n\n<li><strong>T\u00e9tracyclines<\/strong> (effet anti-inflammatoire)<\/li>\n\n\n\n<li><strong>Hydroxychloroquine<\/strong> : en cas de pouss\u00e9e active<\/li>\n\n\n\n<li><strong>Minoxidil 5 % topique<\/strong> : stimulation des zones p\u00e9riph\u00e9riques<\/li>\n\n\n\n<li><strong>Suppression des coiffures agressives<\/strong>, produits irritants ou occlusifs<\/li>\n\n\n\n<li><strong>LED<\/strong>, PRP parfois utiles dans les formes d\u00e9butantes<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd04 Pronostic<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Maladie <strong>\u00e9volutive par pouss\u00e9es<\/strong><\/li>\n\n\n\n<li>La <strong>cicatrisation est irr\u00e9versible<\/strong>, d\u2019o\u00f9 l\u2019importance d\u2019un <strong>diagnostic pr\u00e9coce<\/strong><\/li>\n\n\n\n<li>Ralentissement possible avec traitement bien conduit et bonne observance<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccd Prise en charge au Cabinet du Dr Hadi HAKIM \u2013 Dakar<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagnostic pr\u00e9cis par trichoscopie digitale haute r\u00e9solution<\/li>\n\n\n\n<li>Plan th\u00e9rapeutique individualis\u00e9 selon stade \u00e9volutif<\/li>\n\n\n\n<li>Suivi mensuel avec photographies de progression<\/li>\n\n\n\n<li>Conseils capillaires adapt\u00e9s au phototype africain<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp professionnel disponible<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie et Trichologie \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud83e\uddec D\u00e9finition La CCCA est une forme d\u2019alop\u00e9cie cicatricielle chronique, touchant pr\u00e9f\u00e9rentiellement les femmes africaines. Elle d\u00e9bute au sommet du cr\u00e2ne (vertex) et s\u2019\u00e9tend progressivement de mani\u00e8re centrifuge. Le processus inflammatoire destructeur aboutit \u00e0 une perte permanente des follicules pileux. \ud83d\udc64 \u00c9pid\u00e9miologie \ud83d\udd0d Pr\u00e9sentation clinique \ud83d\udcf8 Trichoscopie \ud83e\uddea Diagnostic \ud83d\udc8a Traitement Objectifs : freiner l\u2019\u00e9volution, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":209,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-198","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/198","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=198"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/198\/revisions"}],"predecessor-version":[{"id":199,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/198\/revisions\/199"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/209"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=198"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}