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Traction Alopecia

Hair loss from years of pulling by tight styles

Traction alopecia is a type of alopecia or hair loss caused by a chronic pulling force being applied to the hair. It commonly results from a person frequently wearing their hair in a particularly tight ponytail, pigtails, or braids with increased likelihood when hair is chemically relaxed as this compromises the hair shaft's tensile strength resulting in hair breakage. Traction alopecia causes a recession of the hairline due to chronic traction, which is characterized by a fringe along the marginal hairline on physical exam. Diagnosis is clinical and treatment directed at cessation of the chronic traction, while cosmeses, with surgical restoration is reserved for severe cases with scarring fibrosis.

Information, not medical advice. Talk to a licensed doctor or pharmacist before starting or changing a treatment.

Research 10

  1. Marginal Traction Alopecia: Hair Care Practices, Severity Score and Trichoscopic Features in Lagos, Nigeria.PubMed · 2022 · 3 citations
  2. A Practical Approach to the Diagnosis and Management of Hair Loss in Children and AdolescentsFrontiers in Medicine · 2017 · 76 citations
  3. Hair casts are a dermoscopic clue for the diagnosis of traction alopeciaBritish Journal of Dermatology · 2010 · 88 citations
  4. Updates in the understanding and treatments of skin & hair disorders in women of colorInternational Journal of Women’s Dermatology · 2017 · 62 citations
  5. Bitemporal hair loss related to traction alopeciaDermatology Online Journal · 2016 · 9 citations
  6. Annual Convention in the Time of COVIDJournal of the Dermatology Nurses’ Association · 2021 · 1 citation
  7. The “Fringe Sign” - A useful clinical finding in traction alopecia of the marginal hair lineDermatology Online Journal · 2011 · 104 citations
  8. Low-dose oral minoxidil improves hair density in traction alopeciaJournal of the American Academy of Dermatology · 2023 · 14 citations
  9. Traction Alopecia due to 'Hair Extension'British Journal of Dermatology · 1972 · 15 citations
  10. Traction Folliculitis with Hair Casts and AlopeciaArchives of Pediatrics and Adolescent Medicine · 1961 · 28 citations
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Posts 7

  1. Treating traction alopecia for over a yearReddit · 29 Mar 2024
  2. In the case of traction alopecia, does minoxidil have to be used forever?Reddit · 29 Jan 2021
  3. Does finasteride help with traction alopecia as well?Reddit · 3 Aug 2022
  4. is traction alopecia a thing?Reddit · 27 Feb 2020
  5. Is continuous minox/fin use necessary for traction alopecia?Reddit · 12 May 2021
  6. Would a Derma roller help with hair loss from traction alopecia/scarring?Reddit · 29 Feb 2020
  7. Alternative Healing Methods for Traction Alopecia?Reddit
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