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Traction Alopecia: Clinical and Cultural Patterns.

Khalifa E Sharquie1, Robert A Schwartz2, Wesal K Aljanabi3

  • 1Department Dermatology, University of Baghdad College of Medicine, Baghdad, Iraq and Iraqi and Arab Board for Dermatology and Venereology, Iraq.

Indian Journal of Dermatology
|November 11, 2021
PubMed
Summary
This summary is machine-generated.

Traction alopecia, a common hair loss condition, is often overlooked and linked to hairstyling practices. Early diagnosis and intervention are crucial for preventing permanent hair loss.

Keywords:
Fringe signIraqSharquiehair stylespressure atrophyscarring alopeciatraction alopecia

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Area of Science:

  • Dermatology
  • Trichology

Background:

  • Traction alopecia is a prevalent yet frequently underestimated hair loss disorder.
  • It is often linked to hairstyling practices and is preventable.

Purpose of the Study:

  • To evaluate patients diagnosed with traction alopecia.
  • To identify demographic features, clinical patterns, and treatment responses.

Main Methods:

  • A study conducted at a Dermatology Center in Baghdad, Iraq, from November 2005 to October 2019.
  • Data collected included patient demographics, disease duration, hair styling practices, and clinical presentation.
  • Clinical patterns of hair loss were systematically analyzed.

Main Results:

  • Thirty female patients, aged 6 to 47 years (mean 15.63), were included.
  • The majority (70%) were under 16 years old; none had tightly curled hair.
  • The fringe sign was observed in 90% of cases, with a generally poor response to therapy.

Conclusions:

  • Traction alopecia affects children and adults, linked to cultural hairstyling, and appears to be increasing.
  • The fringe sign is a key diagnostic indicator.
  • This preventable hair loss can be reversed if detected early, averting permanent scarring alopecia.