Updates in the understanding and treatments of skin &amp; hair disorders in women of color

Lawson, Christina N.; Hollinger, Jasmine C; Sethi, Sumit; Rodney, Ife J.; Sarkar, Rashmi; Dlova, Ncoza C.; Callender, Valerie D.

doi:10.1016/j.ijwd.2017.02.006

Cited by 44 publications

(75 citation statements)

References 150 publications

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“…The earliest clinical sign of TA is perifollicular erythema that develops into a folliculitis characterized by perifollicular pustules and papules. 8 , 35 In its later stages, the disease evolves into a scarring alopecia with decreased follicular markings. 8 The most common sites of hair loss are the frontal and temporoparietal areas, although any area of the scalp can be affected depending on the hairstyle worn ( Figure 2 ).…”

Section: Clinical Features and Diagnosismentioning

confidence: 99%

“… 8 The most common sites of hair loss are the frontal and temporoparietal areas, although any area of the scalp can be affected depending on the hairstyle worn ( Figure 2 ). 35 Marginal traction alopecia refers to hair loss and thinning that is seen along the frontal and temporoparietal margin of the hairline. 36 Marginal TA is often accompanied by a strip of thin hair at the distal end of the patch of alopecia that is referred to as “the fringe sign” ( Figure 3 ).…”

Section: Clinical Features and Diagnosismentioning

confidence: 99%

“…Avoidance of chemical and thermal treatment of hair is also recommended, as well as the avoidance of combining traumatic hairstyling with chemically and thermally treated hair. 35 The earliest clinical sign of TA is perifollicular erythema, which may be followed by the development of folliculitis characterized by pustules and papules. 8 , 41 Initial medical management is directed at combating these inflammatory effects through the use of topical and intralesional corticosteroids applied to the margin of hair loss, as well as oral and topical antibiotics for their anti-inflammatory properties.…”

Section: Managementmentioning

confidence: 99%

“… 8 , 41 Initial medical management is directed at combating these inflammatory effects through the use of topical and intralesional corticosteroids applied to the margin of hair loss, as well as oral and topical antibiotics for their anti-inflammatory properties. 21 , 25 , 35 There are several reports in the literature showing promising results for topical minoxidil in the treatment of advanced TA. Khumaloand Ngwanya reported two cases of women suffering late stage TA who experienced hair regrowth at 3 months and significant hair regrowth after 6 and 9 months, respectively, with the topical application of 2% minoxidil.…”

Section: Managementmentioning

confidence: 99%

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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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Section: Clinical Features and Diagnosismentioning

confidence: 99%

Section: Clinical Features and Diagnosismentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

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Traction alopecia: the root of the problem

Billero

Miteva

2018

CCID

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“…Patients with skin of color are at increased risk for specific dermatologic conditions, such as postinflammatory hyperpigmentation, keloid development, and central centrifugal cicatricial alopecia. 2,3 Furthermore, although skin cancer is less prevalent in patients with skin of color, it often presents at a more advanced stage and with a worse prognosis compared to white patients. 4 Individuals with skin of color make up the majority of the world's population and a rapidly expanding portion of the US population.…”

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confidence: 99%

Multiethnic Training in Residency: A Survey of Dermatology Residents

Cline¹,

Winter²,

Kourosh³

et al. 2020

Cutis

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Individuals with skin of color make up the majority of the world's population and a rapidly expanding section of the US population. Future dermatologists must be knowledgeable about dermatologic conditions presenting in patients of various ethnic backgrounds. A 10-question survey was emailed to 109 dermatology residency programs to assess if dermatologists in-training feel that their residency curriculum sufficiently gives them exposure to and education on patients with skin of color. Forty-three residents completed the survey from 5 regions of the United States. Resident responses differed by region. Residents from areas with less diversity were more likely to agree that dedicated skin of color clinics and rotations are important to gain competency compared to residents from areas with more diversity.

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Diagnostic tools for hyperpigmentation disorders in skin of color: An updated review

Pagan

Mitchell

Yousif

et al. 2022

Dermatological Reviews

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Hyperpigmentation disorders are highly prevalent and disproportionately affect patients with skin of color. Studies suggest that over 65% of Black or African American patients haveexperienced at least one episode of hyperpigmentation due to skin damage or irritation. Notably, melasma and postinflammatory hyperpigmentation are the two most common forms of dyschromia in patients with skin of color. Additionally, otherconditionssuch as lichen planus and erythema dyschromicum perstans can have a more severe presentation and significant morbidity in this patient population. Thus, hyperpigmentation disorders can benefit greatly from prompt and accurate diagnosis that results in more precise management. In this review, we present the most updated information regarding dermoscopy, reflectance confocal, and conventional light microscopy in the diagnosis of hyperpigmentation disorders in skin of color. In addition, we summarize the benefits and pitfalls of some of these techniques, with a special emphasis on their accuracy and potential to assess favorable treatment outcomes. We also describe recent studies that have compared these diagnostic techniques across many disorders of hyperpigmentation and the practical findings that can be applied to everyday practice. We recognize that the cost of equipment, clinician training, and device availability are all critical factors when choosing the ideal diagnostic tool and provide varied approaches to improve accuracy. Today, diagnosing and treating hyperpigmentation skin conditions has become easier through technological advances.More reliable, noninvasive techniques such as dermoscopy and reflectance confocal microscopy show promise as adjuncts to guide laser and light therapies and monitor treatment response in dermatology clinics and clinical trials.

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Updates in the understanding and treatments of skin & hair disorders in women of color

Cited by 44 publications

References 150 publications

Traction alopecia: the root of the problem

Traction alopecia: the root of the problem

Multiethnic Training in Residency: A Survey of Dermatology Residents

Diagnostic tools for hyperpigmentation disorders in skin of color: An updated review

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