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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