Hair and Scalp Disorders in Women of African Descent

The document from 2013 examines hair and scalp disorders in women of African descent, emphasizing the unique characteristics of afro-textured hair and the psychological impact of these conditions. It notes that afro-textured hair has a slower growth rate, lower density, higher telogen counts, and increased fragility. Hair care practices, which can include natural styles and chemical treatments, may contribute to damage. The document reports a significant prevalence of scarring alopecias, particularly central centrifugal cicatricial alopecia (CCCA), with one study showing a 5.6% prevalence and another a 17% prevalence among certain populations. It highlights the need for community-based epidemiological studies and recommends a detailed clinical assessment for proper diagnosis. Various conditions such as acquired trichorrhexis nodosa, seborrheic dermatitis, scalp psoriasis, tinea capitis, and CCCA are discussed, with treatment options ranging from minimizing harmful hair care practices to using medications like antifungals, anti-inflammatories, and corticosteroids. Traction alopecia (TA) is identified as a common and potentially reversible condition if addressed early, with treatment options including behavior modification and potentially topical or intralesional corticosteroids and minoxidil. The document underscores the need for further research and controlled clinical trials to establish effective treatment regimens for these disorders.