Open AccessNocturnal Traction: Techniques Used for Hair Style Maintenance while Sleeping May Be a Risk Factor for Traction Alopecia
Author(s) -
Aman Samrao,
Amy Mcmichael,
Paradi Mirmirani
Publication year - 2021
Publication title -
skin appendage disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.773
H-Index - 13
eISSN - 2296-9195
pISSN - 2296-9160
DOI - 10.1159/000513088
Subject(s) - traction (geology) , hair loss , medicine , nocturnal , hair care , life style , dermatology , dentistry , engineering , mechanical engineering , chemistry , environmental health , polymer science
Background: Traction alopecia (TA) is a preventable form of hair loss that most commonly affects women. It is the result of chronic use of hairstyles that put tension on hair. Public health efforts to increase awareness of this condition are critical. Early recognition by health care providers, along with counseling and cessation of offending hair care practices can impact severity of hair loss. Objectives: In a patient with patchy hair loss, having a high index of suspicion for TA and looking for clues in the history and exam, can help establish an accurate diagnosis. Methods: Patients with afro-textured or curly hair may use various techniques to maintain their hairstyles while sleeping in order to avoid time-consuming and/or expensive hair care. This behavior is not commonly recognized or addressed. Results and Conclusions: Increased awareness of “nocturnal traction” and asking patients “How do you wear your hair when you sleep?” may help identify at-risk patients.