Afro-textured hair care: a narrative review and recommendations for dermatologists

Afro-textured hair has unique structural and biochemical properties that influence hair behavior and clinical outcomes. Persistent disparities in the characterization, diagnosis, and management of conditions affecting individuals with Afro-textured hair highlight gaps in clinician training and cultural competence.

To synthesize current literature on Afro-textured hair into clinically relevant domains.

We performed a narrative review of PubMed, Scopus, and Web of Science (2010-2024) using terms including "Afro-textured hair," "curly hair care," and "ethnic dermatology." Peer-reviewed English-language articles relevant to dermatologic care were included. Recommendations were derived from recurring themes.

Afro-textured hair is defined as a spectrum of fibers consistent with established characteristics of African hair, irrespective of georacial origin. Six domains were identified: patient-physician relationships, classification and terminology, hereditary and acquired conditions, biochemical structure and behavior, diagnostic approaches, and hair products and styling practices. Practical recommendations are provided to advance inclusivity and cultural humility in dermatologic care.

As a narrative review, this work inherently lacks a systematic search strategy and formal quality appraisal and is subject to potential selection bias.

Organizing the literature into 6 domains offers actionable guidance to improve education, diagnosis, and management of hair and scalp conditions affecting patients with Afro-textured hair.