Introduction: Central centrifugal cicatricial alopecia (CCCA) is the most common cause of scarring alopecia in middle-aged black women. Trichoscopy is a noninvasive tool for diagnosis and follow-up of hair and scalp disorders. To date, limited studies have focused on its applicability to CCCA in existing literature. Methods: The present study aimed to describe the trichoscopic findings of 11 dark-skinned women with confirmed CCCA and provide a comprehensive discussion of our current knowledge regarding trichoscopy of this disease through a literature review. A thorough understanding of CCCA trichoscopy holds significant promise for early confirmation and treatment. Conclusion: By doing so, it is possible to mitigate the development of complications and alleviate the subsequent impact on patients’ quality of life.

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