Treatment for central centrifugal cicatricial alopecia d Delphi consensus recommendations

被引：2

作者：

Jackson, Tiaranesha ^{[1
]}

Sow, Yacine ^{[2
]}

Dinkins, Jewell ^{[3
]}

Aguh, Crystal ^{[4
]}

Ayoade, Katherine Omueti ^{[5
]}

Barbosa, Victoria ^{[6
]}

Burgess, Cheryl ^{[7
]}

Callender, Valerie ^{[8
]}

Cotsarelis, George ^{[5
]}

Grimes, Pearl ^{[9
]}

Harvey, Valerie ^{[10
,11
]}

Kindred, Chesahna ^{[12
]}

Lester, Jenna ^{[13
]}

Lo Sicco, Kristen ^{[14
]}

Mayo, Tiffany ^{[15
]}

McMichael, Amy ^{[16
]}

Oboite, Michelle ^{[5
,17
]}

Ogunleye, Temitayo ^{[5
]}

Olsen, Elise ^{[18
]}

Osei-Tutu, Achiamah ^{[19
]}

Piliang, Melissa ^{[20
]}

Senna, Maryanne ^{[21
]}

Shapiro, Jerry ^{[14
]}

Tosti, Antonella ^{[22
]}

Frey, Cheri ^{[23
]}

Adotama, Prince ^{[14
]}

Taylor, Susan C. ^{[5
]}

机构：

[1] Univ Illinois, Coll Med Peoria, Peoria, IL USA

[2] Morehouse Sch Med Atlanta, Atlanta, GA USA

[3] Meharry Med Coll SOM, Nashville, TN USA

[4] Johns Hopkins Sch Med, Dept Dermatol, Baltimore, MD USA

[5] Univ Penn, Perelman Sch Med, Dept Dermatol, 3400 Civic Ctr Blvd,South Pavilion,7th Floor,Room, Philadelphia, PA 19104 USA

[6] Univ Chicago, Dept Med & Pediat, Sect Dermatol, Chicago, IL USA

[7] Duke Univ, Ctr Eye, Dept Ophthalmol & Dermatol, Div Oculoplast & Reconstruct Surg,DUMC, Durham, NC 27710 USA

[8] Callender Dermatol & Cosmet Ctr, 12200 Annapolis Rd,Suite 315, Glenn Dale, MD 20769 USA

[9] Vitiligo & Pigmentat Inst Southern Calif, Grimes Ctr Med & Aesthet Dermatol, Los Angeles, CA USA

[10] Virginia Beach, Virginia Beach, VA 23464 USA

[11] Hampton Rd Ctr Dermatol, Newport News, VA USA

[12] Kindred Hair & Skin Ctr, Columbia, MD USA

[13] Univ Calif SanFrancisco, Dept Dermatol, San Francisco, CA USA

[14] NYU, Ronald O Perelman Dept Dermatol, Langone Hlth, New York, NY USA

[15] Univ Alabama Birmingham, Dept Dermatol, Birmingham, AL USA

[16] Wake Forest Univ, Dept Dermatol, Sch Med, Winston Salem, NC USA

[17] Childrens Hosp Philadelphia, Philadelphia, PA USA

[18] Duke Univ, Dept Dermatol, Durham, NC USA

[19] OseiTutu Dermatol, Brooklyn, NY USA

[20] Cleveland Clin, Dept Dermatol, Cleveland, OH USA

[21] Lahey HairLoss Ctr Excellence & Res Unit, Burlington, MA USA

[22] Univ Miami, Dept Dermatol, Miami, FL USA

[23] Howard Univ, Dept Dermatol, Washington, DC USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY | 2024年 / 90卷 / 06期

关键词：

alopecia; CCCA; central centrifugal cicatricial alopecia; cicatricial alopecia; consensus; delphi; dermatology; guidelines; hair loss; modified delphi; recommendation; scarring alopecia; therapy; treatment;

D O I：

10.1016/j.jaad.2023.12.073

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background: There is no established standard of care for treating central centrifugal cicatricial alopecia (CCCA), and treatment approaches vary widely. Objective: To develop consensus statements regarding the use of various pharmacological therapies in treating adults with CCCA. Methods: We invited 27 dermatologists with expertise in hair and scalp disorders to participate in a 3round modified Delphi study between January and March 2023. Statements met strong consensus if 75% of respondents agreed or disagreed. Statements met moderate consensus if 55% or more but less than 75% agreed or disagreed. Results: In round 1, 5 of 33 (15.2%) statements met strong consensus, followed by 9 of 28 (32.1%) in round 2. After the final round 3 meeting, strong consensus was reached for 20 of 70 (28.6%) overall statements. Two statements achieved moderate consensus. Limitations: This study included only English-speaking, US -based dermatologists and did not consider nonpharmacological therapies. Conclusion: Despite varying opinions among dermatologists, consensus was reached for several statements to help clinicians manage CCCA. We also highlight areas that lack expert consensus with the goal of advancing research and therapeutic options for CCCA.

引用

页码：1182 / 1189

页数：8

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