Traumatic Marginal Alopecia Due to Traction on the Hair.

Costa, Oswaldo G.

doi:10.1111/j.1365-2133.1946.tb11325.x

Cited by 9 publications

(3 citation statements)

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“…Traction alopecia is a common type of hair loss among individuals of sub-Saharan African lineage,[ 4 5 6 7 8 9 10 11 ] but in the present study there were no patients with tightly curled hair or of sub-Saharan African lineage. The prevalence of TA is highest among women, including children, of sub-Saharan African descent due to mechanical characteristics of their hair follicles.…”

Section: Discussioncontrasting

confidence: 60%

Traction Alopecia

Sharquie

Schwartz

Al-Janabi

et al. 2021

Indian Journal of Dermatology

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Background: Traction alopecia is common and preventable but frequently overlooked disorder. Objective: To evaluate patients with traction alopecia. Patients and Methods: This study was conducted at the Dermatology Center, Medical City, Baghdad, Iraq, during the period from November 2005 to October 2019. Demographic features like age, gender, disease duration and special hair styling practices and accessories were recorded. Clinical patterns were studied. Results: Thirty female patients were included in this study. Their ages ranged from 6 to 47 years with mean age ± SD was 15.63 ± 9.806. Twenty-one (70%) were below the age of 16 years. No patient had tightly curled hair. All cases were asymptomatic apart from hair loss. The fringe sign was observed in 27 (90%) of cases. The response to therapy was poor. Conclusion: Traction alopecia is an important type of pressure-induced hair loss evident in children and adults with or without curly hair due mainly due to cultural hair styling practices with its frequency apparently increasing in recent years. The fringe sign is common and of diagnostic importance. It is a preventable form of hair loss which can be reversed if diagnosed early; otherwise, permanent scarring alopecia results. It represents a pressure phenomenon evident worldwide in both non-Sub-Saharan lineage and Sub-Saharan lineage individuals.

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Section: Discussioncontrasting

confidence: 60%

Traction Alopecia

Sharquie

Schwartz

Al-Janabi

et al. 2021

Indian Journal of Dermatology

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“…He was also among the first to discern that mechanical traction was the cause of hair loss in these patients. 10 , 11…”

Section: Historymentioning

confidence: 99%

Traction alopecia: the root of the problem

Billero

Miteva

2018

CCID

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Traction alopecia (TA) affects one-third of women of African descent who wear various forms of traumatic hairstyling for a prolonged period of time. The risk of TA is increased by the extent of pulling and duration of traction, as well as the use of chemical relaxation. The frequent use of tight buns or ponytails, the attachment of weaves or hair extensions, and tight braids (such as cornrows and dreadlocks) are believed to be the highest risk hairstyles. TA can also occur in the setting of religious and occupational traumatic hairstyling. In its later stages, the disease may progress into an irreversible scarring alopecia if traumatic hairstyling continues without appropriate intervention. The most common clinical presentation includes marginal alopecia and non-marginal patchy alopecia. A clue to the clinical diagnosis is the preservation of the fringe sign as opposed to its loss in frontal fibrosing alopecia (FFA). Dermoscopy can be helpful in the diagnosis and can detect the ongoing traction by the presence of hair casts. Histopathology can distinguish TA from alopecia areata, FFA, and patchy central centrifugal cicatricial alopecia. Currently, there is no cure. Therefore, it is imperative that clinicians educate high-risk populations about TA and those practices that may convey the risk of hair loss.

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“…TA is characterized by loss of marginal terminal hairs with fringe sign (rim of hair at the hairline), predominance of vellus hair, occasional papules, redness and inflammation at the base of the hair (folliculitis), irreversible alopecia, and perifollicular casts on trichoscopy [9][10][11][12][13]. Various reports had described 5 patterns of TA linked to the hairstyles among different groups [1,[14][15][16][17]. Early identification of hair care practices that predispose to TA is crucial.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of Traction Alopecia and Hair Care Practices among Adolescents in Keffi, North-Central Nigeria

Okoro

Imam

Barminas

2021

Skin Appendage Disord

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Background: Traction alopecia (TA) is the commonest cause of hair loss among women, with a prevalence of 46.2% in Nigeria. Adequate knowledge and good hair care practices can assist in its prevention. Objective: The aim of this study was to determine knowledge of both TA and hair care practices among adolescents in Keffi, Nigeria. Methods: This was a cross-sectional survey conducted among 333 female adolescents in 3 senior secondary schools between November 2019 and February 2020. The participants were randomly selected and interviewed using a questionnaire which sought information about the knowledge of TA and hair care practices. The data were analysed using SPSS 25 statistical software. Results: Overall, the knowledge score was poor in 61.4% of the adolescents. Hair plaiting 86.8% (289/333), use of chemical relaxers 68.8% (229/333), and use of hair covers 88.3% (294/333) were the predominant hair care practices. In total, 90.8% had concurrently relaxed and plaited their hair. Cornrows with own hair were the commonest hair grooming style. The use of hair attachments was believed to be the commonest cause of TA. The use of hijab was the commonest form of hair cover used. Conclusions: The knowledge of TA is poor among female adolescents. A large number engaged in risky hair care practices. Interventions to reduce the knowledge gap will reduce the prevalence of TA. Key Message: The knowledge of traction alopecia is poor among female adolescents in Keffi who engage in traumatic hair practices.

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Traumatic Marginal Alopecia Due to Traction on the Hair.

Cited by 9 publications

References 0 publications

Traction Alopecia

Traction Alopecia

Traction alopecia: the root of the problem

Knowledge of Traction Alopecia and Hair Care Practices among Adolescents in Keffi, North-Central Nigeria

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