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Traction Alopecia

What is Traction alopecia?

Traction alopecia is hair loss caused by repeatedly pulling on the hair follicles due to tight hairstyles. This constant tension damages the hair follicles, leading to weakening, breakage, and eventually, hair loss.

Who is at risk?

People who wear tight hairstyles such as braids, cornrows, dreadlocks, weaves, extensions, ponytails, and buns are at risk of developing traction alopecia. Additionally, the use of tight hair accessories like rollers, clips, and headbands and chemical hair treatments like relaxers can also increase a person’s risk.

What are the signs and symptoms?

Initially, traction alopecia can cause itching and irritation of the scalp, redness and scaling of the scalp, folliculitis (inflammation of the hair follicles), and short, broken hairs around the hairline. As it progresses, noticeable hair loss will develop, usually along the hairline. A “fringe sign” may also be present, which is when a rim of hair remains at the front and sides of the hairline, but the rest of the hair in the area thins.

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