Hair grooming practices and central centrifugal cicatricial alopecia - 08/08/11
, Michelle Jankowski, MAS, Melody Eide, MD, MPH, Henry W. Lim, MD
Reprint requests: Raechele Cochran Gathers, MD, Multicultural Dermatology Center, Henry Ford Hospital. 3031 W Grand Blvd, Suite 800, Detroit, MI 48202.See related article on page 660
Abstract |
Background |
The cause of central centrifugal cicatricial alopecia (CCCA) in African American women remains to be elucidated.
Objective |
This study was designed to determine the hair-grooming practices in African American women with and without CCCA and to evaluate possible etiologic factors.
Methods |
Utilizing a novel survey instrument, the Hair Grooming Assessment Survey, we performed a retrospective comparative survey of the hair-grooming practices of two populations of African American women seen and evaluated at the Department of Dermatology, Henry Ford Hospital in Detroit, MI, between 2000 and 2007. The case group were women with clinical and histologic diagnosis of CCCA, and the control group were those without a history of alopecia.
Results |
All 101 surveys that were returned were analyzed (51 from the case group and 50 from the control group). A strong association was found between the use of both sewn-in hair weaving and cornrow or braided hairstyles with artificial hair extensions and CCCA (P < .04, P < .03, respectively). Similarly, women with CCCA were more likely to report a history of “damage”, typically defined as uncomfortable pulling and tenderness, from both sewn-in and glued-in weaves, and from cornrow or braided hairstyles with artificial hair extensions (P < .001, P < .02, and P < .03, respectively). In contrast to previous anecdotal beliefs, no correlation was found between the use of either hot combing or hair relaxers and the development of CCCA.
Limitations |
Results are limited by patient recall of past hair grooming practices. Also, as hair grooming practices may vary by geographic region, these results may not be generalized to all women of African descent.
Conclusion |
There is a clear difference in both quantitative and qualitative hair grooming practices among African American women with CCCA.
Le texte complet de cet article est disponible en PDF.Abbreviations used : CCCA, CCSA, FDS, HGAS, NAHRS
Plan
| Supported by funds from the Department of Dermatology, Henry Ford Hospital. |
|
| Conflicts of interest: None declared. |
|
| This work has been previously presented at the L’Oreal Ethnic Hair and Skin Research Symposium, November 2007, Miami, FL. |
Vol 60 - N° 4
P. 574-578 - avril 2009 Retour au numéro
Article précédent
- A prospective clinical trial of open-label etanercept for the treatment of hidradenitis suppurativa
- Robert A. Lee, Erica Dommasch, James Treat, Joslyn Sciacca-Kirby, Samuel Chachkin, Jennifer Williams, Daniel B. Shin, James J. Leyden, Carmela Vittorio, Joel M. Gelfand
- Accuracy of teledermatology for nonpigmented neoplasms
- Erin M. Warshaw, Frank A. Lederle, Joseph P. Grill, Amy A. Gravely, Ann K. Bangerter, Lawrence A. Fortier, Kimberly A. Bohjanen, Karen Chen, Peter K. Lee, Harold S. Rabinovitz, Robert H. Johr, Valda N. Kaye, Sacharitha Bowers, Rachel Wenner, Sharone K. Askari, Deborah A. Kedrowski, David B. Nelson
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?