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Traction Alopecia

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1. Positive Jacquet's sign in traction alopecia. (Abstract)

Positive Jacquet's sign in traction alopecia. 29577451 2018 11 29 1468-3083 32 12 2018 Dec Journal of the European Academy of Dermatology and Venereology : JEADV J Eur Acad Dermatol Venereol Positive Jacquet's sign in traction alopecia. e446-e447 10.1111/jdv.14974 Ancer-Arellano J J Facultad de Medicina, Servicio de Dermatología, Hospital Universitario 'Dr. José E. González', Universidad Autonoma de Nuevo León, Monterrey, Nuevo León, México. Tosti A A Department of Dermatology and Cutaneous

2018 Journal of the European Academy of Dermatology and Venereology

2. Traction alopecia: the root of the problem Full Text available with Trip Pro

in the diagnosis and can detect the ongoing traction by the presence of hair casts. Histopathology can distinguish TA from alopecia areata, FFA, and patchy central centrifugal cicatricial alopecia. Currently, there is no cure. Therefore, it is imperative that clinicians educate high-risk populations about TA and those practices that may convey the risk of hair loss. (...) Traction alopecia: the root of the problem Traction alopecia (TA) affects one-third of women of African descent who wear various forms of traumatic hairstyling for a prolonged period of time. The risk of TA is increased by the extent of pulling and duration of traction, as well as the use of chemical relaxation. The frequent use of tight buns or ponytails, the attachment of weaves or hair extensions, and tight braids (such as cornrows and dreadlocks) are believed to be the highest risk

2018 Clinical, cosmetic and investigational dermatology

3. How Do You Advise the Balding Patient?

with good occipital-parietal hair density. Given the myriad options, it is essential that the internist be able to offer advice and assist the balding patient in making an informed decision. Male pattern hair loss is medically referred to as androgenetic alopecia (AGA). At initial presentation, it is important to differentiate between AGA and other causes of hair loss. As with any condition, the past medical history can yield clues. Febrile infections, major surgery requiring general anesthesia, cancer (...) alopecia. The gold standard for the diagnosis of AGA is scalp biopsy, though this invasive procedure is rarely required.3 In men, the diagnosis of AGA is often easy: the hair loss is characterized by an em-shaped balding pattern, variably thinning strands, and the presence of vellus-like hair in place of terminal strands. In women not suffering from androgen excess, AGA is diagnosed in those presenting with diffuse thinning over the frontal region; the stereotypical male frontotemporal balding pattern

2010 Clinical Correlations

4. Evaluation of clinical signs and early and late trichoscopy findings in traction alopecia patients with Fitzpatrick skin type II and III: a single-center, clinical study. (Abstract)

Evaluation of clinical signs and early and late trichoscopy findings in traction alopecia patients with Fitzpatrick skin type II and III: a single-center, clinical study. Traction alopecia refers to (often permanent) hair loss caused by prolonged physical damage. No study has yet described the unique trichoscopic findings of the condition. We describe the trichoscopic findings of traction alopecia and its relationships with the duration of traction.We studied 25 patients who were clinically (...) diagnosed with traction alopecia. The patients were divided into two groups in terms of traction duration. Trichoscopy was performed at a minimum of two scalp locations in each patient.Reduction in hair density, hair diameter diversity, empty follicles, and vellus hairs were observed in all patients. In addition, the following were observed: loss of follicular openings in 19 (76%) patients, yellow dots and broken hairs in 17 (68%), black dots in 12 (48%), hair casts in 7 (28%), circular hairs in 5 (20

2017 International Journal of Dermatology

5. Traction Alopecia

Alopecia From Related Chapters II. Definition due to a high tension hair style III. Causes Tight braids (e.g. corn rows) Ponytails IV. Management Change in hair style V. Prognosis Longstanding may result in permanent Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Traction Alopecia." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Traumatic (...) ) , Traumatic alopecia , Traction alopecia , Traumatic alopecia (disorder) Hungarian Tractiós alopecia Derived from the NIH UMLS ( ) Related Topics in Hair Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website

2018 FP Notebook

6. What are the best treatments for male pattern baldness?

of the man's own hair. • In certain circumstances, men on low incomes may be eligible for free or reduced cost wigs on the NHS. • More information on buying wigs and NHS policy is available at . Other cosmetic options to camouflage hair loss are not prescribable on the NHS. They include: • Hairstyling — waving, dyeing, sprays, and mousses. • Hair camouflage products — which provide scalp cover. • Hair extensions — which provide fullness but may result in further pulling and traction on existing follicles (...) , educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com What are the best treatments for male pattern baldness? CKS has a guideline on androgenetic alopecia (1) contains guidance on how to treat men with androgenetic alopecia. This states: “Discuss expectations, wishes, and goals, give general advice, and discuss the following management

2011 TRIP Answers

7. A Practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents Full Text available with Trip Pro

. Common causes of alopecia in children and adolescents include alopecia areata, tinea capitis, androgenetic alopecia, traction alopecia, trichotillomania, hair cycle disturbances, and congenital alopecia conditions. Diagnostic tools for hair loss in children include a detailed history, physical examination with a focused evaluation of the child's hair and scalp, fungal screens, hair pull and tug test, and if possible, light microscopy and/or trichoscopy. Management of alopecia requires a holistic (...) A Practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents Hair loss or alopecia is a common and distressing clinical complaint in the primary care setting and can arise from heterogeneous etiologies. In the pediatric population, hair loss often presents with patterns that are different from that of their adult counterparts. Given the psychosocial complications that may arise from pediatric alopecia, prompt diagnosis and management is particularly important

2017 Frontiers in medicine

8. All hairstyles are not created equal: What the dermatologist needs to know about black hairstyling practices and the risk of traction alopecia (TA). (Abstract)

All hairstyles are not created equal: What the dermatologist needs to know about black hairstyling practices and the risk of traction alopecia (TA). Prevalent among black women, traction alopecia (TA) is a type of hair loss that is often attributed to certain hairstyling practices. Although some of the hair care techniques common in the black community can promote ease of everyday hairstyling for black women, many of these practices have been implicated as risk factors for TA. Because (...) of the limited literature on black hairstyling methods, hair loss in this patient population can present a diagnostic and therapeutic challenge for dermatologists. By increasing the knowledge and understanding of these practices and their risk of causing TA, clinicians can better manage this condition and stop the progression of hair loss before it becomes permanent. This information can be used to develop individualized recommendations for safer styling alternatives and improve patient education

2016 Journal of American Academy of Dermatology

9. It's not all traction: the "Pseudo-fringe sign" in frontal fibrosing alopecia. (Abstract)

It's not all traction: the "Pseudo-fringe sign" in frontal fibrosing alopecia. 26138941 2016 10 17 2016 12 30 1365-2133 173 5 2015 Nov The British journal of dermatology Br. J. Dermatol. It's not all traction: the pseudo 'fringe sign' in frontal fibrosing alopecia. 1336-8 10.1111/bjd.14005 Pirmez R R Department of Dermatology, Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rua Visconde de Pirajá 330, salas 1001-1003, Rio de Janeiro, 22410 (...) Department of Dermatology, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil. Kelly Y Y Department of Dermatology, Universidade de São Paulo, São Paulo, SP, Brazil. Doche I I Department of Dermatology, Universidade de São Paulo, São Paulo, SP, Brazil. eng Letter 2015 10 15 England Br J Dermatol 0004041 0007-0963 IM Adult Aged Alopecia pathology Female Forehead Humans Male Middle Aged Retrospective Studies Scalp Dermatoses pathology 2015 7 4 6 0 2015 7 4 6 0 2016 10 19 6 0 ppublish

2015 British Journal of Dermatology

10. Alopecia, androgenetic - male

includes thinning in the density of hair at the crown and frontal scalp, and widening of the central parting with retention of the frontal hairline. See the section on the in the CKS topic on for more information. Consider using the (depending on clinical judgement). Suspect an if there is: Profound shedding or a rapid onset of hair loss which may indicate . Temporal hair thinning which may indicate traction alopecia, frontal fibrosing alopecia, or hypothyroidism. Inflammation, papules or pustules (...) hairs may be seen. Alopecia areata — characterised by diffuse, patchy hair shedding in sharply defined areas. It usually affects women over 40 years of age rather than men. See the CKS topic on for more information. Syphilis — characterized by patchy hair loss of the scalp and lateral eyebrows described as having a 'moth-eaten' appearance. These features usually persist for a few weeks and heal spontaneously with or without treatment. See the CKS topic on for more information. Traction alopecia

2018 NICE Clinical Knowledge Summaries

11. Alopecia areata

information. Traction alopeciahair loss secondary to pulling on the roots, commonly caused by hair styling techniques (for example tight braids or pony tails), and usually involving the scalp margins causing temporal hair thinning. Androgenetic alopecia — there is a typical pattern of hair loss over the crown where pigmented terminal hairs are progressively replaced by finer hairs. Both men and women can be affected. In women, hair loss may be more diffuse, with a reduction in hair density over (...) Alopecia areata Alopecia areata - NICE CKS Share Alopecia areata: Summary Alopecia areata is a chronic, inflammatory condition affecting the hair follicles which leads to sudden onset of non-scarring alopecia (hair loss where the hair follicles are generally preserved). Any hair-bearing skin can be involved, but it most commonly affects the scalp or beard and, less frequently, the eyebrows and eyelashes. Total loss of scalp hair (alopecia totalis) or scalp and body hair (alopecia universalis

2018 NICE Clinical Knowledge Summaries

12. Injections of Platelet-Rich Plasma for androgenic alopecia: A systematic review. (Abstract)

in patients with androgenic alopecia. Out of the 32 publications retrieved, 14 publications were included, of which 3 randomized, 4 prospective controlled, 4 prospective uncontrolled and 3 retrospective studies. Seven out of 9 studies reported a significant increase of hair density ranging between 12.3 and 45.9 hairs/cm2, (i.e. 19-31% hairs/cm2). Four studies assessed hair loss with the traction test and found a negative result after treatment in more than 95% of patients. Regarding hair thickness, 1 (...) study reported an increase in hair diameter of 46.4% and 1 reported an increase of 106.4% of the "Hair mass index". Overall, the use of PRP injections in patients with androgenic alopecia seems effective with respect to promoting lost hair regrowth, decreasing hair loss and increasing hair thickness. The effects appear to be progressive from the first injection session, to peak after 3 to 5 sessions and to be attenuated in the absence of further injections. No major adverse effect was reported

2017 Journal of stomatology, oral and maxillofacial surgery

13. Association of cicatricial alopecia with chemical hair straightening. (Abstract)

Association of cicatricial alopecia with chemical hair straightening. Exome sequencing and genome-wide association studies support a genetic basis for central centrifugal cicatricial alopecia (CCCA) and frontal fibrosing alopecia (FFA).1,2 Given recent epidemiologic trends, environmental risk factors likely interact with genetic susceptibility to promote disease.2 Hair care practices, specifically, have been suspected to contribute to hair loss disorders, namely CCCA and traction alopecia

2019 British Journal of Dermatology

14. Off-Label Use of Topical Minoxidil in Alopecia: A Review. (Abstract)

, including AA and most scarring alopecias, the evidence seems to be inconclusive. For others, such as eyebrow hypotrichosis, monilethrix, early traction alopecia, and CIA, there is more support for the efficacy of minoxidil. Although the favorable safety profile of minoxidil is established in adults, its use in the treatment of pediatric alopecia may require heightened monitoring and patient education. (...) Off-Label Use of Topical Minoxidil in Alopecia: A Review. Topical minoxidil is a well-known and often-utilized drug in dermatological practice for the treatment of alopecia. It was approved by the United States Food and Drug Administration for the treatment of androgenetic alopecia in 1988. Since its approval, minoxidil has been used off-label for the treatment of many other types of alopecia, with minimal formal evidence of efficacy. Conditions for which the use of topical minoxidil has been

2019 American journal of clinical dermatology

15. Apremilast in the Treatment of Central Centrifugal Cicatricial Alopecia (CCCA)

scalp inflammation in patients with CCCA and may prevent further hair loss and potentially induce hair regrowth in patients with mild to moderate disease. Condition or disease Intervention/treatment Phase Central Centrifugal Cicatricial Alopecia Drug: Apremilast Phase 4 Detailed Description: Central centrifugal cicatricial alopecia (CCCA) is a type of scarring alopecia commonly seen in women of African American descent. The etiology is not completely understood, but CCCA likely results from (...) a combination of hair-grooming practices, a pro-inflammatory state within the hair follicles, and genetic factors. The management of CCCA remains a challenge as there are no published treatment guidelines. Current therapies aim to decrease inflammation in order to prevent further hair loss. Apremilast, an oral phosphodiesterase-4 inhibitor, has been shown to be effective in the treatment of moderate to severe plaque psoriasis and psoriatic arthropathy. In vitro studies have demonstrated anti-inflammatory

2018 Clinical Trials

16. Traction Alopecia (Overview)

difficult. [ ] Race Large race-based studies are not yet available. Central centrifugal cicatricial alopecia is believed to be predominant in African Americans, while lichen planopilaris occurs mostly in lighter-skinned patients. Sex The sex distribution of scarring alopecia is anecdotally believed to be predominantly favoring the female population. Age Traction alopecia is initially seen in children and young adults. Traction alopecia is an uncommon overall cause of hair loss in adults. However (...) loss of follicular ostia, or atrophy. Clinical inflammation is frequently, but not always, present. Histologic inflammation may be present. Ultimately, histologic confirmation is the best method to confirm the presence of a fibrosing/scarring process with loss of hair follicles. Many alopecia types are biphasic. For example, androgenetic alopecia eventually results in loss of ostia and thus may appear like a scarring alopecia. This article focuses on the alopecia types that are believed to be due

2014 eMedicine.com

17. Traction Alopecia (Diagnosis)

difficult. [ ] Race Large race-based studies are not yet available. Central centrifugal cicatricial alopecia is believed to be predominant in African Americans, while lichen planopilaris occurs mostly in lighter-skinned patients. Sex The sex distribution of scarring alopecia is anecdotally believed to be predominantly favoring the female population. Age Traction alopecia is initially seen in children and young adults. Traction alopecia is an uncommon overall cause of hair loss in adults. However (...) loss of follicular ostia, or atrophy. Clinical inflammation is frequently, but not always, present. Histologic inflammation may be present. Ultimately, histologic confirmation is the best method to confirm the presence of a fibrosing/scarring process with loss of hair follicles. Many alopecia types are biphasic. For example, androgenetic alopecia eventually results in loss of ostia and thus may appear like a scarring alopecia. This article focuses on the alopecia types that are believed to be due

2014 eMedicine.com

18. Traction Alopecia (Follow-up)

. Break dancing: a new risk factor for scarring hair loss. J Cutan Med Surg . 2011 May-Jun. 15(3):177-9. . Whiting DA. Cicatricial alopecia: clinico-pathological findings and treatment. Clin Dermatol . 2001 Mar-Apr. 19(2):211-25. . Khumalo NP, Jessop S, Gumedze F, Ehrlich R. Determinants of marginal traction alopecia in African girls and women. J Am Acad Dermatol . 2008 Sep. 59(3):432-8. . Ochoa BE, King LE Jr, Price VH. Lichen planopilaris: Annual incidence in four hair referral centers in the United (...) in the diet may help promote normal hair growth. The exact role of diet with scarring alopecia has not been evaluated extensively in the medical literature. Diet and vitamins such as vitamin D are an established factor in normal hair growth and development but have not yet been strongly correlated with scar formation and inflammation. [ ] Previous Next: Prevention Patients should discontinue any practices that exert traction on the hair, including the following: Hairstyling practices such as braiding

2014 eMedicine.com

19. Traction Alopecia (Treatment)

. Break dancing: a new risk factor for scarring hair loss. J Cutan Med Surg . 2011 May-Jun. 15(3):177-9. . Whiting DA. Cicatricial alopecia: clinico-pathological findings and treatment. Clin Dermatol . 2001 Mar-Apr. 19(2):211-25. . Khumalo NP, Jessop S, Gumedze F, Ehrlich R. Determinants of marginal traction alopecia in African girls and women. J Am Acad Dermatol . 2008 Sep. 59(3):432-8. . Ochoa BE, King LE Jr, Price VH. Lichen planopilaris: Annual incidence in four hair referral centers in the United (...) in the diet may help promote normal hair growth. The exact role of diet with scarring alopecia has not been evaluated extensively in the medical literature. Diet and vitamins such as vitamin D are an established factor in normal hair growth and development but have not yet been strongly correlated with scar formation and inflammation. [ ] Previous Next: Prevention Patients should discontinue any practices that exert traction on the hair, including the following: Hairstyling practices such as braiding

2014 eMedicine.com

20. Diagnosis and management of hair loss in children. (Abstract)

Diagnosis and management of hair loss in children. Hair loss is common in infants and children and the ability to distinguish why a child is losing hair enables providers to distinguish hair loss that is related to infection, autoimmune conditions, nutrition, medications, trauma/traction, or underlying genetic disorders such as ectodermal dysplasias. Making these distinctions leads to best management and guidance for patients and their families.Careful physical examination of the hair, scalp (...) , skin, and nails coupled with dermoscopy or trichoscopy, or both, can yield more accurate and faster diagnosis. Biopsy is rarely needed in children for hair loss conditions.Hair loss, particularly on the scalp, can affect all ages and can impact patients socially and emotionally. The majority of hair loss in children is nonscarring. Diagnosis begins with a good history, including personal and family history, medication use, a thorough physical examination, and use of dermoscopy or trichoscopy

2016 Current Opinion in Pediatrics

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