In their editorial, Sperling et al1 propose a comprehensive classification of scarring alopecias (SA). Specifically, the authors give their opinion about 2 types of SA that involve mainly people of African descent with kinky hair, ie, acne keloidalis (AK), and an ethnic variant of cicatricial vertex alopecia (ECVA), formerly named follicular degeneration syndrome, occurring in adult black women. We would like to express here a different point of view on this matter, based on a wide personal experience of skin and hair diseases in African and Afro-Caribbean patients as well as relevant data from the literature.
Mahé A. Scarring Alopecia and Ethnicity. Arch Dermatol. 2001;137(3):374-375. doi: