Cicatricial Alopecia also known as scaring alopecia, effects mostly African Americans, Since the hair shaft curls, it tends to become impacted causing the follicles to become infected in the earlier stages. this can advance in to actual scaring of the scalp. a biopsy may be needed to diagnose this problem. There is now a national foundation dedicated to research and cure of this disease ,C.A.R.F. Cicatricial Alopecial Research Fooundation. www.carfintl.org