Document Detail

Scarring alopecia: clinical and pathologic study of 54 African-American women.
MedLine Citation:
PMID:  19659862     Owner:  NLM     Status:  MEDLINE    
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.
Judy H Borovicka; Lorna Thomas; Carol Prince; Darius R Mehregan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of dermatology     Volume:  48     ISSN:  1365-4632     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-07     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  840-5     Citation Subset:  IM    
Department of Dermatology, Wayne State University School of Medicine, Detroit, Michigan, USA.
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MeSH Terms
African Americans*
Alopecia / chemically induced*,  ethnology*,  pathology
Cicatrix / chemically induced*,  ethnology*,  pathology
Hair Follicle / pathology
Hair Preparations / adverse effects*
Hot Temperature / adverse effects
Middle Aged
Retrospective Studies
Scalp / injuries
Young Adult
Reg. No./Substance:
0/Hair Preparations

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