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Semin Cutan Med Surg. 2009 Jun;28(2):109-14. doi: 10.1016/j.sder.2009.04.004.

Approach to hair loss in women of color.

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Department of Dermatology, University of California, San Francisco, CA 94115, USA.


Hair loss in women of color represents a unique diagnostic challenge that requires a systematic approach. In women of color, clinical examination of the hair and scalp is most helpful when performed first and used to guide subsequent history-taking to arrive at a clinical assessment. The most common hair problems in women of color are hair breakage, traction alopecia, and central centrifugal cicatricial alopecia. A careful detailed clinical examination and history will guide the clinician to appropriate counseling and management. It is important to recognize that a patient may have more than one of these 3 diagnoses and each requires separate attention. Traction alopecia is completely preventable with appropriate education of the public and medical establishment.

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