Prospective histologic examinations in patients who practice traumatic hairstyling

Uhlenhake, Elizabeth E.; Mehregan, Darius M.

doi:10.1111/j.1365-4632.2012.05621.x

Cited by 9 publications

(5 citation statements)

References 36 publications

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“…Our study de ned any hairstyle using unrelaxed hair, including loose cornrows and braids underneath wigs, as a natural hairstyle. A study evaluating the histologic ndings of women without alopecia or scalp in ammation who engaged in traumatic hairstyles within the past month found that periinfundibular lymphocytic in ammation and concentric infundibular brosis were present in all patients [15]. Our ndings indicate that patients wearing natural hairstyles had higher odds of improving while patients not wearing natural hairstyles had higher odds of staying stable with treatment.…”

Section: Discussionmentioning

confidence: 64%

Clinical factors and hair care practices influencing outcomes in central centrifugal cicatricial alopecia

2023

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Background.Central centrifugal cicatricial alopecia (CCCA) is the most common form of primary scarring alopecia in women of African descent, negatively impacting their quality of life. Treatment is often challenging, and we usually direct therapy to suppress and prevent the in ammation. However, factors affecting clinical outcomes are still unknown. Objectives.To characterize medical features, concurrent medical conditions, hair care practices, and treatments used for patients with CCCA and assess their relationship with treatment outcomes. Methods.We analyzed data from a retrospective chart review of 100 patients diagnosed with CCCA who received treatment for at least one year. Treatment outcomes were compared with patient characteristics to determine any relationships. P-values were calculated using logistic regression and univariate analysis with 95% CI. P < .05 was considered signi cant. Results.After one year of treatment, 50% of patients were stable, 36% improved, and 14% worsened. Patients without a history of thyroid disease (P = 0.0422), using metformin for diabetes control (P = 0.0255), using hooded dryers (P = 0.0062), wearing natural hairstyles (P = 0.0103), and having no other physical signs besides cicatricial alopecia (P = 0.0228), had higher odds of improvement after treatment. Patients with scaling (P = 0.0095) or pustules (P = 0.0325) had higher odds of worsening. Patients with a history of thyroid disease (P = 0.0188), not using hooded dryers (0.0438), or not wearing natural hairstyles (P = 0.0098) had higher odds of remaining stable. Conclusions.Clinical characteristics, concurrent medical conditions, and hair care practices may affect clinical outcomes after treatment. With this information, providers can adjust proper therapies and evaluations for patients with Central centrifugal cicatricial alopecia.

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Section: Discussionmentioning

confidence: 64%

Clinical factors and hair care practices influencing outcomes in central centrifugal cicatricial alopecia

2023

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“…Ten women (mean [SD] age, 48.7 [11.5] years) were enrolled. The mean (SD) self-reported severity score was 3.9 (1.3) . Patients reported hair loss from the root within the vertex (10 of 10 patients [100%]) and beyond the vertex (4 of 10 [40%]).…”

Section: Resultsmentioning

confidence: 99%

“…For this cross-sectional study, African American women (aged ≥18 years) with CCCA diagnosed on the basis of clinical and histopathologic findings (central scalp alopecia photographic scale severity 2-5 [range, 0-5, with higher scores indicating worse alopecia]) were recruited at dermatology clinics from June 18, 2018, to August 13, 2018 . Patients with additional inflammatory scalp disease and those who received intralesional steroids or systemic therapy for CCCA within the past 6 months were excluded.…”

Section: Methodsmentioning

confidence: 99%

Dermatoscopic Evaluation of Central Centrifugal Cicatricial Alopecia Beyond the Vertex Scalp

Felix

Souza

Portilla³

et al. 2020

JAMA Dermatol

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Central centrifugal cicatricial alopecia (CCCA) is a scarring alopecia commonly seen in African American individuals. 1 It classically affects the vertex scalp, although 1 study 2 suggests that it may manifest as patchy hair loss beyond the vertex. In that study, the histopathologic, dermatoscopic, and clinical findings were crucial in diagnosis. However, another study 3 reported histopathologic changes in the vertex scalp consistent with CCCA even without clinically visible hair loss. Our study explored dermatoscopic and histopathologic findings in areas of the scalp without clinically active disease, specifically beyond the vertex scalp. We also assessed the reliability of dermatoscopy, which may serve as a less invasive diagnostic tool than biopsy, for the diagnosis of CCCA in the context of subclinical disease.

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“…Elizabeth et al evaluated the histological findings in patients without clinical alopecia who had been using chemical or/and thermal straighteners. Although there was no clinical alopecia; inflammation, infundibular fibrosis, and scarring were noticed in histopathologic examination and they termed this pattern hair loss as “alopecia from traumatic hairstyling” …”

Section: Discussionmentioning

confidence: 99%

“…com] Hair straightener group T elogen effluvium group Although there was no clinical alopecia; inflammation, infundibular fibrosis, and scarring were noticed in histopathologic examination and they termed this pattern hair loss as "alopecia from traumatic hairstyling". 18 In conclusion, the common side effects of thermal hot comb strengtheners' were summarized as damage to the hair shaft; decreasing in the brightness of the hair, burns, and scars on the scalp;…”

Section: G R a P H I Cmentioning

confidence: 99%

New pattern hair loss in young Turkish women; What's wrong in their daily life?

Şahin

Pancar

Kalkan³

2019

Skin Research and Technology

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Background The application of heat, used to straighten the typically coiled hair, has long been hypothesized to play a role in the etiologic factor for central centrifugal cicatricial alopecia (CCCA). The aim of this study was to evaluate the effect of thermal hair straightening on hair loss pattern in Asian women exist. Materials and methods Thirty‐five patients with hair loss who have been using hair straightening devices and 25 patients with telogen effluvium were enrolled in this prospective study. Laboratory analysis and dermatoscopic findings were used to compare these groups. Results The peripilar white halo around hairs, peripilar dark/gray halo around follicular orifices, the predominance of a single hair perifollicular unit (FU), hair diameter diversity, the thin miniaturized hair, interfollicular pinpoint white dots, and white patches were statistically higher in hair straightener group (P < 0.001). White patches of the scalp increased by the time of the application of these devices (P < 0.01). White patches of vertex region were significantly higher than the midfrontal region (P < 0.01). Conclusion The common side effects of thermal hot comb strengtheners’ were summarized as damage to the hair shaft; decreasing in the brightness of the hair, burns, and scars on the scalp; and lastly CCCA‐like hair loss.

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Prospective histologic examinations in patients who practice traumatic hairstyling

Cited by 9 publications

References 36 publications

Clinical factors and hair care practices influencing outcomes in central centrifugal cicatricial alopecia

Clinical factors and hair care practices influencing outcomes in central centrifugal cicatricial alopecia

Dermatoscopic Evaluation of Central Centrifugal Cicatricial Alopecia Beyond the Vertex Scalp

New pattern hair loss in young Turkish women; What's wrong in their daily life?

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