Enlarging alopecic patch in an African American woman with central centrifugal cicatricial alopecia: A case of concomitant tinea incognito

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.1 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.2