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Int J Dermatol. 2009 Aug;48(8):840-5. doi: 10.1111/j.1365-4632.2009.04129.x.

Scarring alopecia: clinical and pathologic study of 54 African-American women.

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1
Department of Dermatology, Wayne State University School of Medicine, Detroit, Michigan, USA.

Abstract

BACKGROUND:

Cicatricial or scarring alopecia results in the destruction of hair follicles and is a significant cosmetic concern in African-American women.

OBJECTIVE:

To correlate the clinical examination and histologic findings in African-American women with scarring alopecia with a history of hairstyling practices.

METHODS:

We reviewed retrospectively the medical records and scalp biopsy specimens of 54 women with scarring alopecia. Patients were selected from two dermatologic practices in the Detroit Metropolitan area.

RESULTS:

Alopecia commonly presents in patients who use a variety of traumatic haircare techniques, including chemical and physical straighteners, traction, braiding, hair extensions, hair gluing, and chemical curls. Histologic findings are centered around the follicular infundibulum with a lymphocytic infiltrate and perifollicular fibrosis.

CONCLUSION:

Traumatic hairstyling techniques are common in African-American women, and all result in a similar picture of a peri-infundibular lymphocytic infiltrate and fibrosis, leading to alopecia.

[Indexed for MEDLINE]

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