Androgenetic and Traction Alopecia

Androgenetic and Traction Alopecia
Hair loss (alopecia) has multiple causes and is usually a major concern for patients. Androgenetic alopecia, the most common form of alopecia, is related to a variety of genetic and hormonal factors, and it involves a progressive hair thinning that occurs in both men and women. In most cases, hair falls out in small, round patches about the size of a quarter. In many cases, the disease does not extend beyond a few bare patches. In some people, hair loss is more extensive. Although uncommon, the disease can progress to cause total loss of hair on the head or complete loss of hair on the head, face, and body.
Here are some alopecia conditions:
- Traction alopecia - a condition that occurs when ponytails or tight braids put so much stress on the hair that it falls out. If this happens repeatedly it can cause scarring and root damage that will prevent hair from growing back. - Cicatricial alopecia - a group of related disorders in which inflammation destroys the hair follicles and replaces them with scar tissue. Also referred to as scarring alopecia, this cause of permanent hair loss is often seen in skin conditions such as discoid lupus erythematosus and lichen planus. - Androgenic alopecia - also called male-pattern or female-pattern baldness, a condition in which the growth phase of the normal hair cycle shortens, making hair more fragile. Over time hairs falls out easily leaving a characteristic pattern of thinning or baldness. - Trichotillomania - a mental condition in which people have an uncontrollable urge to pull out their hair. This can lead to patchy bald spots on the head. - Telogen effluvium - hair loss related to a change in the normal hair cycle. This may be caused by an emotional shock - such as the death of a loved one - or physical shock, such as high fever, illness or surgery.
Traction alopecia is a form of alopecia, or gradual hair loss, caused primarily by pulling force being applied to the hair. This commonly results from the sufferer frequently wearing his/her hair in a particularly tight ponytail, pigtails, or braids. It is also seen occasionally in long-haired people who use barrettes to keep hair out of their faces.
Traction alopecia is a substantial risk in hair weaves, which can be worn either to conceal hair loss, or purely for cosmetic purposes. The former involves creating a braid around the head below the existing hairline, to which an extended-wear hairpiece, or wig, is attached. Since the hair of the braid is still growing, it requires frequent maintenance, which involves the hairpiece being removed, the natural hair braided again, and the piece snugly reattached. Traction Alopecia is one of the most common causes of hair loss in African American women. Although the aforementioned style is one of the culprits, hairstyles such as dreadlocks and single (extension) braids can also have the same effect.
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