LAUSR

CCCA: central centrifugal cicatricial alopecia INTRODUCTION Central centrifugal cicatricial alopecia (CCCA) is a scarring alopecia that typically presents with an enlarging alopecic patch on the vertex of the scalp, most commonly in African American females. Tinea incognito is a dermatophyte infection of skin and hair exacerbated by the erroneous application of immunosuppressive therapies. Its presentation is variable and may mimic other dermatologic conditions, resulting in delays in accurate diagnosis and management. Tinea capitis, a cutaneous fungal infection of the scalp or hair, is a curable cause of hair loss. Though common in the pediatric population, tinea capitis may be misdiagnosed due to its relative rarity in adults and clinical resemblance to other primary scarring alopecias. We present a case of an African American woman with biopsy-proven CCCA, who stopped responding to treatment of topical and intralesional steroids, found to have a concomitant diagnosis of tinea incognito.