A Literature Review and Guidance on Traction Alopecia in Hijab-Wearing Patients

September 2024 in “ Journal of the American Academy of Dermatology ”

Muhab Abdelwahab, Wilhelmina Lam, Rewan Abdelwahab, Nishad Sathe, Antonellá Tosti

traction alopecia tight hairstyles follicular occlusion transepidermal water loss hair follicles linear groove frontal scalp silk fabrics satin fabrics TA

TLDR Tight hairstyles under hijabs cause traction alopecia, worsened by prolonged wear.

This literature review on traction alopecia (TA) in hijab-wearing patients identifies tight hairstyles under hijabs as a primary cause of TA, exacerbated by prolonged wear. The review of 25 articles from 2008 to 2023 highlights that the popular two-layer turban style, tight-fitting hijabs, and poor microcirculation contribute to follicular occlusion, transepidermal water loss, and high tension on hair follicles. Clinical findings in hijab-wearing patients are similar to non-hijab-wearing patients but may include a linear groove on the frontal scalp. Management should include guidance on appropriate hairstyling practices, such as using silk and satin fabrics.

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A Literature Review and Guidance on Traction Alopecia in Hijab-Wearing Patients

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