Epidemiology of traction alopecia among school students in Minia, Upper Egypt

Document Type : Original Article

Authors

1 Dermatology department, Faculty of medicine, Minia university, Minia, Egypt.

2 Dermatology, faculty of Medicine, Minia university, Minia, Egypt.

Abstract

Traction alopecia, as a distinctive disease, was first identified in 1904 but is still a major cause of scarring hair loss in young girls worldwide. Traction alopecia is initially reversible, but if it continues, it can become an irreversible (scarring) form of alopecia. It can be seen across all races due to tightly-pulled hairstyles. The pattern of alopecia depends on the hairstyle causing it, but it most commonly affects the frontotemporal hairline. There are some new clinical features associated with traction alopecia, which are traction folliculitis, the fringe sign, and hair casts (pseudonits) on dermatoscopy. The primary treatment for traction alopecia is to discontinue the contributing excessive hairstyles. Camouflage, anti-inflammatory, or growth-stimulating topical preparations are second-line treatments. In the later stages of permanent scarring form of traction alopecia, hair transplantation may be the only effective treatment.

This study was conducted to study the incidence of traction alopecia among school students in Minia, Upper Egypt.

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