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<p>Traction alopecia (TA) is a form of hair loss caused by tension-inducing hairstyling practices, historically described in Black populations. However, it can affect individuals of any racial or ethnic background. This study aimed to characterize TA in non-Black individuals and identify associated risk factors. A retrospective chart review was conducted of patients diagnosed with TA at the University of Pennsylvania between 2012 and 2023. Patients with ICD-10 codes L65.8-9 and documentation of “traction alopecia” in the provider note were included. Non-Black individuals with confirmed TA were analyzed for demographic data, affected scalp regions, hairstyling behaviors, coexisting diagnoses, and treatment responses.</p><p>Of 1270 identified patients, 69 (5.4%) met inclusion criteria. Most were White (85.5%) and female (98.6%), with a median age of 41. Commonly affected regions included the temporal and frontal scalp. Frequent risk factors included tight ponytails/buns and round-brush blow-drying. Over 75% had a coexisting hair disorder, most commonly androgenetic alopecia. Follow-up data showed varied treatment responses. TA is not exclusive to Black individuals and may be underrecognized in other populations. Clinicians should consider TA in the differential diagnosis of hair loss across all racial and ethnic groups to ensure timely intervention.</p>

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Traction alopecia in non-black populations: a retrospective review of demographic and hairstyling risk factors

  • 期刊论文

  • 发表日期：

    2026年7月20日

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  • Nikhita J. Perry,
  • Radhika Gupta,
  • Temitayo Ogunleye

摘要

Traction alopecia (TA) is a form of hair loss caused by tension-inducing hairstyling practices, historically described in Black populations. However, it can affect individuals of any racial or ethnic background. This study aimed to characterize TA in non-Black individuals and identify associated risk factors. A retrospective chart review was conducted of patients diagnosed with TA at the University of Pennsylvania between 2012 and 2023. Patients with ICD-10 codes L65.8-9 and documentation of “traction alopecia” in the provider note were included. Non-Black individuals with confirmed TA were analyzed for demographic data, affected scalp regions, hairstyling behaviors, coexisting diagnoses, and treatment responses.

Of 1270 identified patients, 69 (5.4%) met inclusion criteria. Most were White (85.5%) and female (98.6%), with a median age of 41. Commonly affected regions included the temporal and frontal scalp. Frequent risk factors included tight ponytails/buns and round-brush blow-drying. Over 75% had a coexisting hair disorder, most commonly androgenetic alopecia. Follow-up data showed varied treatment responses. TA is not exclusive to Black individuals and may be underrecognized in other populations. Clinicians should consider TA in the differential diagnosis of hair loss across all racial and ethnic groups to ensure timely intervention.