What is your approach to managing patients with central centrifugal cicatricial alopecia (CCCA) who do not respond to ILK or doxycycline?
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1 Answers
Mednet Member
Dermatology · Forefront Dermatology
ILK + doxy of course is the mainstay but when going beyond that these are my typical thoughts:
HCQ can help if there is some lichenoid inflammation on path
Spiro+finasteride helps older women who likely also have some component of AGA
10% metformin in a lipoderm cream base has been used for CCC...