Traction Alopecia Simulating Lichen Planopilaris

    February 2013 in “ Journal of the American Academy of Dermatology ”
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    TLDR A woman's hair loss looked like a different condition due to her hairstyle, and treatment stopped further hair loss but didn't regrow hair.
    The document presents a case report of a 29-year-old woman who experienced hair loss in the frontotemporal region due to traction alopecia, which initially simulated lichen planopilaris (LPP). The patient had a history of applying traction to the scalp and presented with flaking and hair thinning in the affected area. Dermatoscopy revealed the absence of perifollicular erythema but the presence of corneal plugs and telogen hairs. A scalp biopsy showed a marked reduction in hair follicles and irregular lymphocytic infiltrate around the remaining follicles. Treatment with prednisone, albendazole, diprosalic, ketoconazole shampoo, and topical clobetasol was initiated, which halted the progression of the lesion but did not result in hair regrowth. The report also discusses the commonality of LPP in women and the various treatments available, including corticosteroids, antibiotics, hydroxychloroquine, and newer treatments like oral mycophenolate mofetil, prednisone, cyclosporine, and pioglitazone hydrochloride. No commercial support was identified for this case report.
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      community C’est terrible - at my wits end

      in Female  449 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community Treating traction alopecia for over a year

      in Progress Pictures  57 upvotes 8 months ago
      The user treated traction alopecia for over a year using Nutrafol, rosemary oil, topical and oral Minoxidil, dermarolling, biotin, collagen, and vitamin D, and shared progress photos to inspire others on their hair growth journey. They also acknowledged the community and a specific person for support and encouragement.

      community Help with Routine for 50 year old Black Woman

      in Female 4 years ago
      A 50-year-old Black woman with alopecia areata and traction alopecia is seeking a science-based hair loss routine. Current treatments include spearmint tea for DHT levels and considering PRP.

      community Roughly 6 month update: I was almost a goner

      in Progress Pictures  48 upvotes 1 year ago
      The user shared a 6-month update on their hair loss treatment, using finasteride/minoxidil gel, ketoconazole shampoo, thickening shampoo and conditioner, and topical minoxidil. They wash their hair three times a week and switched to a less oily topical foam. Other users commented on their hairstyle, advising against it to prevent traction alopecia.

      community 3 Doctors 3 Diagnoses: Please help.

      in Treatment  4 upvotes 10 months ago
      A user experiencing hair loss received three different diagnoses: androgenic alopecia, traction alopecia, and scarring alopecia, and tried treatments like minoxidil and finasteride without success. They are considering dutasteride but were advised to seek anti-inflammatory medication instead.

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