Traction Alopecia in Two Adolescent Sikh Brothers—An Underrecognized Problem Unmasked by Migration

  title={Traction Alopecia in Two Adolescent Sikh Brothers—An Underrecognized Problem Unmasked by Migration},
  author={Daniela Karimian-Teherani and Laila El Shabrawi‐Caelen and Adrian Tanew},
  journal={Pediatric Dermatology},
Abstract:  Traction alopecia denotes an often permanent hair loss resulting from prolonged physical damage to the hair shaft. We report on two adolescent Sikh brothers who wore a turban since early childhood and developed a band‐like scarring alopecia at the frontal hairline. Awareness of this condition may help in preventing irreversible hair loss by early modification of the daily hair care routine. 

Rapunzel Alopecia: A Peculiar Form of Non-Marginal Traction Alopecia Secondary to Excessively Long Hair

TA occurs from chronic tensile forces on the hair and can be caused by different hairstyles that pull the hair tightly, such as regularly wearing braids, ponytails, cornrows, dreadlocks, and weaves, or by treating hair with rollers, hair extensions, or chemical relaxers.

Review of traction alopecia in the pediatric patient: Diagnosis, prevention, and management

Recognizing TA at its reversible stage in the pediatric population is critical as early interventions, and counseling will prevent permanent scarring alopecia.

Traction alopecia: the root of the problem

It is imperative that clinicians educate high-risk populations about TA and those practices that may convey the risk of hair loss, as well as to distinguish TA from alopecia areata, FFA, and patchy central centrifugal cicatricial alopECia.

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

  • M. Polat
  • Medicine
    International journal of dermatology
  • 2017
The trichoscopic findings of traction alopecia are described and its relationships with the duration of traction are described.

Trichotillomania and Traction Alopecia

The clinical and diagnostic features of trichotillomania and traction alopecia are overviewed and the therapeu‐ tic options of these disorders are reviewed in this chapter.

Follicular and Scarring Disorders in Skin of Color: Presentation and Management

Therapeutic regimens such as intralesional corticosteroids, surgical excision, and laser therapy can be effective for these follicular and scarring disorders, but carry a risk of dyspigmentation and keloids.

[Traction alopecias].

Cultural Dermatoses: A Review

Various cultural dermatoses -skin conditions caused by culture-specific therapeutic, cosmetic, and/or religious practices -of ethnic and racial groups found in the United States are described.

Regeneration of hair and other skin appendages: A microenvironment‐centric view

  • Chenyu HuangYanan Du Xiaobing Fu
  • Biology, Medicine
    Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
  • 2016
It is crucial to understand the regenerative potential of hair follicles where genetic, nutritional, and hormonal influences have important effects and are critical for skin regeneration.




Traction alopecia due to slow continuous traction is well-known in girls with pony-taii hairstyles, in those who use rollers to curl their hair, and in negroes who plait their kinky hair to straighten it.

Traction Alopecia in Sikh Male Patients

Traction alopecia among Sikh males as a result of stress on the hair from wearing a turban is reported, possibly accompanied by seborrheic dermatitis and psoriasis.

Traction alopecia in Sikh males.

The traction alopecia in the submandibular area is seen only in those who adopt the above method of tying the beard, and patients are advised to tie the hair loosely when using this procedure.

Low‐cobalt diet for dyshidrotic eczema patients

Although metal hypersensitivity does not play a role in all cases of dyshidrotic eczema, high oral ingestion of nickel and/or cobalt should be considered, regardless of patch test results.

Hairdressing and the prevalence of scalp disease in African adults

A large number of the scalp disorders reported in Africa are associated with hairstyles, and these disorders appear to be related to hairstyles and not necessarily to skin conditions.

An Atlas of Hair Pathology with Clinical Correlations

Normal Hair Anatomy and Architecture Specimen Acquisition, Handling, and Processing Evaluating and Describing Transverse (Horizontal) Sections Classification of Hair Disease Distinctive or Critical

Dispelling the Myths Behind Pediatric Patch Testing—Experience from Our Tertiary Care Patch Testing Centers

This article hopes to emphasize common misconceptions and pitfalls encountered with patch test procedures for children, and to stimulate research interest in this field so as to determine the optimum patch test conditions and techniques for children.

Children’s clothing fasteners as a potential source of exposure to releasable nickel ions

This data indicates that a significant number of individuals are nickel sensitized by their mid‐teenage years and recent studies suggest that children may become sensitized to nickel at an early age.

Diagnostic procedures for eczema patients

Of 7887 patients with eczema seen in a private dermatological practice over a period of 2 year and 4 months, a specific final diagnosis was found in 5376 (68%), white a final diagnosis of

Systemic contact dermatitis after oral exposure to nickel: a review with a modified meta‐analysis

The results from the 2 most sensitive groups show that 1% of these individuals may react with systemic contact dermatitis at normal daily nickel exposure from drinking water and diet, i.e. 0.22–0.35 mg nickel.