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

Studysummary This review discusses prevention, diagnosis, and treatment strategies for traction alopecia but presents no new clinical findings; the authors emphasize early intervention to prevent permanent hair loss.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

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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Research cited in this study

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research Alpha-1 Adrenergic Receptor Agonist Induced Piloerection Protects Against the Development of Traction Alopecia

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In this study, topical phenylephrine significantly reduced hair shedding and increased the force needed to pluck hair in women undergoing cosmetic procedures, suggesting its potential utility for traction alopecia.

research Traction Alopecia: Prevention and Treatment

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research Determinants of Marginal Traction Alopecia in African Girls and Women

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This study found that traction alopecia risk was higher in adults than children and increased further when traction was combined with chemically relaxed hair.

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