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Scarring Alopecias Related to Hairstyling Practices

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Fundamentals of Ethnic Hair

Abstract

Over time, traumatic hairstyling practices can lead to both scarring and nonscarring forms of alopecia. In scarring alopecia, fibrous scar tissue replaces hair follicles, resulting in permanent hair loss. In nonscarring alopecia, such as traction and chemically related alopecias, hair regrowth is possible. However, repeated trauma can lead to permanent, scarring hair loss. Additionally, hair styling practices can exacerbate existing alopecia. Understanding the role hair care practices play in the development of hair loss is critical to management of these conditions.

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References

  1. Dlova NC, Jordaan FH, Sarig O, Sprecher E. Autosomal dominant inheritance of central centrifugal cicatricial alopecia in black South Africans. J Am Acad Dermatol. 2014;70(4):679–682.e671.

    Article  PubMed  Google Scholar 

  2. Madu P, Kundu RV. Follicular and scarring disorders in skin of color: presentation and management. Am J Clin Dermatol. 2014;15(4):307–21.

    Article  PubMed  Google Scholar 

  3. Callender VD, Lawson CN, Onwudiwe OC. Hair transplantation in the surgical treatment of central centrifugal cicatricial alopecia. Dermatol Surg. 2014;40(10):1125–31.

    Article  CAS  PubMed  Google Scholar 

  4. Khumalo NP. Grooming and central centrifugal cicatricial alopecia. J Am Acad Dermatol. 2010;62:507–8.

    Article  PubMed  Google Scholar 

  5. Ogunleye TA, McMichael A, Olsen EA. Central centrifugal cicatricial alopecia: what has been achieved, current clues for future research. Dermatol Clin. 2014;32(2):173–81.

    Article  CAS  PubMed  Google Scholar 

  6. Whiting DA, Olsen EA. Central centrifugal cicatricial alopecia. Dermatol Ther. 2008;21(4):268–78.

    Article  PubMed  Google Scholar 

  7. Khumalo NP, Jessop S, Gumedze F, Ehrlich R. Hairdressing and the prevalence of scalp disease in African adults. Br J Dermatol. 2007;157(5):981–8.

    Article  CAS  PubMed  Google Scholar 

  8. Kyei A, Bergfeld WF, Piliang M, Summers P. Medical and environmental risk factors for the development of central centrifugal cicatricial alopecia: a population study. Arch Dermatol. 2011;147(8):909–14.

    Article  PubMed  Google Scholar 

  9. Callender VD, Wright DR, Davis EC, Sperling LC. Hair breakage as a presenting sign of early or occult central centrifugal cicatricial alopecia: clinicopathologic findings in 9 patients. Arch Dermatol. 2012;148(9):1047–52.

    Article  PubMed  Google Scholar 

  10. Callender VD, McMichael AJ, Cohen GF. Medical and surgical therapies for alopecias in black women. Dermatol Ther. 2004;17(2):164–76.

    Article  PubMed  Google Scholar 

  11. Gathers RC, Jankowski M, Eide M, Lim HW. Hair grooming practices and central centrifugal cicatricial alopecia. J Am Acad Dermatol. 2009;60(4):574–8.

    Article  PubMed  Google Scholar 

  12. Olsen EA, Callender V, Sperling L, et al. Central scalp alopecia photographic scale in African American women. Dermatol Ther. 2008;21(4):264–7.

    Article  CAS  PubMed  Google Scholar 

  13. Miteva M, Tosti A. Pathologic diagnosis of central centrifugal cicatricial alopecia on horizontal sections. Am J Dermatopathol. 2014;36(11):859–64; quiz 865–57.

    Article  PubMed  Google Scholar 

  14. LoPresti P, Papa CM, Kligman AM. Hot comb alopecia. Arch Dermatol. 1968;98(3):234–8.

    Article  CAS  PubMed  Google Scholar 

  15. Sperling LC, Hussey S, Sorrells T, Wang JA, Darling T. Cytokeratin 75 expression in central, centrifugal, cicatricial alopecia—new observations in normal and diseased hair follicles. J Cutan Pathol. 2010;37(2):243–8.

    Article  PubMed  Google Scholar 

  16. Olsen EA, Callender V, McMichael A, et al. Central hair loss in African American women: incidence and potential risk factors. J Am Acad Dermatol. 2011;64(2):245–52.

    Article  PubMed  Google Scholar 

  17. Summers P, Kyei A, Bergfeld W. Central centrifugal cicatricial alopecia—an approach to diagnosis and management. Int J Dermatol. 2011;50(12):1457–64.

    Article  PubMed  Google Scholar 

  18. Karnik P, Tekeste Z, McCormick TS, et al. Hair follicle stem cell-specific PPARgamma deletion causes scarring alopecia. J Invest Dermatol. 2009;129(5):1243–57.

    Article  CAS  PubMed  Google Scholar 

  19. Dlova NC, Forder M. Central centrifugal cicatricial alopecia: possible familial aetiology in two African families from South Africa. Int J Dermatol. 2012;51 Suppl 1:17–20, 20–3.

    Article  PubMed  Google Scholar 

  20. Olsen E. Pattern hair loss. In: Olsen E, editor. Disorders of hair growth: diagnosis and treatment. New York: McGraw-Hill; 2003. p. 326.

    Google Scholar 

  21. Olsen EA. Female pattern hair loss and its relationship to permanent/cicatricial alopecia: a new perspective. J Investig Dermatol Symp Proc. 2005;10(3):217–21.

    Article  PubMed  Google Scholar 

  22. Miteva M, Tosti A. Dermatoscopic features of central centrifugal cicatricial alopecia. J Am Acad Dermatol. 2014;71(3):443–9.

    Article  PubMed  Google Scholar 

  23. Khumalo NP, Gumedze F. Traction: risk factor or coincidence in central centrifugal cicatricial alopecia? Br J Dermatol. 2012;167(5):1191–3.

    Article  CAS  PubMed  Google Scholar 

  24. Khumalo NP, Jessop S, Gumedze F, Ehrlich R. Hairdressing is associated with scalp disease in African schoolchildren. Br J Dermatol. 2007;157(1):106–10.

    Article  CAS  PubMed  Google Scholar 

  25. Hair diseases: medical, surgical, and cosmetic treatments. New York: Informa; 2008.

    Google Scholar 

  26. McMichael A. Scalp and hair disorders in African American patients: a primer of disorders and treatments. J Cosmet Dermatol. 2003;16:37–41.

    Google Scholar 

  27. Gathers RC, Lim HW. Central centrifugal cicatricial alopecia: past, present, and future. J Am Acad Dermatol. 2009;60(4):660–8.

    Article  PubMed  Google Scholar 

  28. Fu JM, Price VH. Approach to hair loss in women of color. Semin Cutan Med Surg. 2009;28(2):109–14.

    Article  CAS  PubMed  Google Scholar 

  29. Sperling LC. Hair density in African Americans. Arch Dermatol. 1999;135(6):656–8.

    Article  CAS  PubMed  Google Scholar 

  30. Rose P, Shapiro R. Transplanting into scar tissue and areas of cicatricial alopecia. In: Unger W, Shapiro R, editors. Hair transplantation. 4th ed. New York: Marcel Dekker; 2004.

    Google Scholar 

  31. Banka N, Mubki T, Bunagan MJ, McElwee K, Shapiro J. Frontal fibrosing alopecia: a retrospective clinical review of 62 patients with treatment outcome and long-term follow-up. Int J Dermatol. 2014;53(11):1324–30.

    Article  PubMed  Google Scholar 

  32. Vano-Galvan S, Molina-Ruiz AM, Serrano-Falcon C, et al. Frontal fibrosing alopecia: a multicenter review of 355 patients. J Am Acad Dermatol. 2014;70(4):670–8.

    Article  PubMed  Google Scholar 

  33. Lyakhovitsky A, Amichai B, Sizopoulou C, Barzilai A. A case series of 46 patients with lichen planopilaris: demographics, clinical evaluation, and treatment experience. J Dermatolog Treat. 2015;26(3):275–9.

    Article  CAS  PubMed  Google Scholar 

  34. Chieregato C, Zini A, Barba A, Magnanini M, Rosina P. Lichen planopilaris: report of 30 cases and review of the literature. Int J Dermatol. 2003;42(5):342–5.

    Article  CAS  PubMed  Google Scholar 

  35. Cevasco NC, Bergfeld WF, Remzi BK, de Knott HR. A case-series of 29 patients with lichen planopilaris: the Cleveland Clinic Foundation experience on evaluation, diagnosis, and treatment. J Am Acad Dermatol. 2007;57(1):47–53.

    Article  PubMed  Google Scholar 

  36. Racz E, Gho C, Moorman PW, Noordhoek Hegt V, Neumann HA. Treatment of frontal fibrosing alopecia and lichen planopilaris: a systematic review. J Eur Acad Dermatol Venereol. 2013;27(12):1461–70.

    Article  CAS  PubMed  Google Scholar 

  37. Meinhard J, Stroux A, Lunnemann L, Vogt A, Blume-Peytavi U. Lichen planopilaris: epidemiology and prevalence of subtypes—a retrospective analysis in 104 patients. J Dtsch Dermatol Ges. 2014;12(3):229–35. 229–36.

    PubMed  Google Scholar 

  38. Chew AL, Bashir SJ, Wain EM, Fenton DA, Stefanato CM. Expanding the spectrum of frontal fibrosing alopecia: a unifying concept. J Am Acad Dermatol. 2010;63(4):653–60.

    Article  PubMed  Google Scholar 

  39. Armenores P, Shirato K, Reid C, Sidhu S. Frontal fibrosing alopecia associated with generalized hair loss. Australas J Dermatol. 2010;51(3):183–5.

    Article  PubMed  Google Scholar 

  40. Moreno-Ramirez D, Camacho MF. Frontal fibrosing alopecia: a survey in 16 patients. J Eur Acad Dermatol Venereol. 2005;19(6):700–5.

    Article  CAS  PubMed  Google Scholar 

  41. Navarro-Belmonte MR, Navarro-Lopez V, Ramirez-Bosca A, et al. Case series of familial frontal fibrosing alopecia and a review of the literature. J Cosmet Dermatol. 2015;14(1):64–9.

    Article  PubMed  Google Scholar 

  42. MacDonald A, Clark C, Holmes S. Frontal fibrosing alopecia: a review of 60 cases. J Am Acad Dermatol. 2012;67(5):955–61.

    Article  PubMed  Google Scholar 

  43. Martinez-Perez M, Churruca-Grijelmo M. Frontal fibrosing alopecia: an update on epidemiology and treatment. Actas Dermosifiliogr. 2015;106(9):757–8.

    Article  CAS  PubMed  Google Scholar 

  44. Haskin A, Aguh C, Okoye GA. Understanding patient experiences with scarring alopecia: a qualitative study with management implications. J Dermatolog Treat. 2016:1–3.

    Google Scholar 

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He, A., Haskin, A., Okoye, G.A. (2017). Scarring Alopecias Related to Hairstyling Practices. In: Aguh, C., Okoye, G. (eds) Fundamentals of Ethnic Hair. Springer, Cham. https://doi.org/10.1007/978-3-319-45695-9_10

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  • DOI: https://doi.org/10.1007/978-3-319-45695-9_10

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