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Traction Alopecia — SCE Dermatology MCQ

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EasyHair DisordersTraction AlopeciaSCE Dermatology

A 40-year-old man presents with traction alopecia from long-standing tight hairstyling (cornrows). Examination shows bilateral frontotemporal recession with decreased hair density and perifollicular scarring. Is this condition reversible?

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Correct answer: B — Reversible if caught early before scarring; irreversible once cicatricial change occurs

Traction alopecia is caused by chronic excessive tension on the hair follicle from hairstyling practices (tight braids, cornrows, ponytails, weaves, hair extensions). In early stages, it is reversible if the traction is removed — the 'fringe sign' (preservation of fine hairs along the frontal hairline) indicates early disease. However, prolonged traction causes follicular scarring (cicatricial alopecia) that is irreversible. Treatment involves cessation of traumatic hair practices, topical Minoxidil for non-scarred areas, and surgical hair restoration for established scarring if desired.

Reference: BAD 2022 Patient Information; BJDI 2019 Traction Alopecia