{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:19:04Z","timestamp":1787015944761,"version":"build-2736575974"},"reference-count":4,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,16]],"date-time":"2016-12-16T00:00:00Z","timestamp":1481846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>\n                      Central centrifugal cicatricial alopecia (\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      ) is a form of scarring hair loss most commonly seen in middle\u2010aged African and African American women. It is rarely reported in children. The objective of the current study was to document the presence of\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      in children and to encourage physicians to recognize early signs of\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      in children of affected adults.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Six children presented with biopsy\u2010proven\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      to the Department of Dermatology at Wake Forest Baptist Health and the Nelson R. Mandela School of Medicine from 2012 to 2015. Demographic characteristics, hair styling history, and family history of\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      were noted. Examination included complete history, skin and scalp examination, photographs of the scalp, and scalp biopsies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patient ages ranged from 14 to 19 years (mean age at onset 14 years). Five patients reported scalp symptoms such as tender papules, pruritus, and scaling. Four patients reported appreciable hair loss on the vertex of the scalp. One patient had used chemical relaxers and hair dyes in the past. Five patients had a known family history of\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Because\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      is not typically seen or suspected in children, it is likely to be misdiagnosed or underreported. The findings in these cases add weight to the concept that genetic susceptibility rather than hair care practices may play a significant role in causing\n                      <jats:styled-content style=\"fixed-case\">CCCA<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pde.13046","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T09:45:00Z","timestamp":1481967900000},"page":"133-137","source":"Crossref","is-referenced-by-count":28,"title":["Central Centrifugal Cicatricial Alopecia in Children: A Case Series and Review of the Literature"],"prefix":"10.1111","volume":"34","author":[{"given":"Ariana N.","family":"Eginli","sequence":"first","affiliation":[{"name":"Wake Forest Baptist Health Winston\u2010Salem North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ncoza C.","family":"Dlova","sequence":"additional","affiliation":[{"name":"Nelson R. Mandela School of Medicine University of KwaZulu\u2010Natal Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"McMichael","sequence":"additional","affiliation":[{"name":"Wake Forest Baptist Health Winston\u2010Salem North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.09.066"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2010.09055"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2013.11.035"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.91.2.513"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpde.13046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.13046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T17:30:07Z","timestamp":1696008607000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.13046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,16]]},"references-count":4,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1111\/pde.13046"],"URL":"https:\/\/doi.org\/10.1111\/pde.13046","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,16]]}}}