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Updated: Apr 19, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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High Curl Pattern Hair and Scalp Care Considerations to Mitigate Seborrheic Dermatitis.

Valerie Callender1, Cheryl Burgess2, Valerie M Harvey3

  • 1Department of Dermatology, College of Medicine, Howard University, Callender Dermatology & Cosmetic Center, Glenn Dale, Maryland, USA.

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Summary

Individuals with high-curl-pattern hair are prone to breakage and seborrheic dermatitis (SD). Specific hair care practices can worsen SD, necessitating tailored treatments and further research into ethnic variations for effective management.

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Area of Science:

  • Dermatology and Hair Science
  • Scalp Health and Barrier Function
  • Ethnic Hair Characteristics

Background:

  • High-curl-pattern hair exhibits unique structural traits predisposing it to breakage and seborrheic dermatitis (SD).
  • The susceptibility of this hair type to scalp conditions requires specialized dermatological attention.

Purpose of the Study:

  • To address the challenges in treating seborrheic dermatitis (SD) in individuals with high-curl-pattern hair.
  • To explore the potential benefits of ceramide-containing products for managing SD in this population.

Main Methods:

  • A systematic literature review was conducted to gather existing research.
  • A panel of dermatologists formulated five consensus statements based on the literature review.
  • The statements focus on the interplay between SD, scalp barrier health, and high-curl-pattern hair.

Main Results:

  • Certain common hair care practices can precipitate or aggravate SD in individuals with high-curl-pattern hair.
  • These practices may lead to significant psychological distress for affected individuals.
  • Expert consensus highlights critical challenges in treating SD within this demographic.

Conclusions:

  • Further investigation is required to understand the diverse manifestations of SD across different racial and ethnic groups.
  • Developing individualized and culturally sensitive treatment and management strategies is essential.
  • Addressing the unique needs of individuals with high-curl-pattern hair is crucial for improving scalp health and overall well-being.