47-Year-Old Female with Alopecia on the Frontal and Temporal Scalp

January 2022 in “ Clinical Cases in Dermatology ”

Alexandria LaSalla, Brittany Snyder, Suchita Sampath, Shannon C. Trotter

traction alopecia hair follicle inflammation topical corticosteroids injectable corticosteroids minoxidil scarring hair regrowth surgical interventions camouflaging techniques Rogaine

TLDR Early treatment of traction alopecia can reverse hair loss; prevention involves avoiding tight hairstyles.

Traction alopecia (TA) is a form of hair loss caused by repetitive pulling forces on the hair root, commonly seen in both adults and children. It typically presents with hair loss in areas of increased tension, such as the frontotemporal scalp. Early diagnosis and treatment are crucial, as early-stage TA can be reversible, while chronic TA with scarring is usually irreversible. Histological findings in early TA include hair follicle loosening and inflammation. Treatment focuses on reducing inflammation and promoting hair regrowth, with options including topical or injectable corticosteroids and minoxidil. Preventive education on avoiding tension-inducing hairstyles is essential. Advanced TA may require surgical interventions or camouflaging techniques.

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