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Correspondence |

Traction Alopecia in a Ballerina: Clinicopathologic Features

Aman Samrao, MD; Catherine Chen, MD; Daniel Zedek, MD; Vera H. Price, MD, FRCPC
Arch Dermatol. 2010;146(8):918-935. doi:10.1001/archdermatol.2010.183.
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Khumalo  NPNgwanya  RMJessop  SGumedze  FEhrlich  R Marginal traction alopecia severity score: development and test of reliability. J Cosmet Dermatol 2007;6 (4) 262- 269
PubMed Link to Article[[XSLOpenURL/10.1111/jcd.2007.6.issue-4]]
Khumalo  NPJessop  SGumedze  FEhrlich  R Hairdressing and the prevalence of scalp disease in African adults. Br J Dermatol 2007;157 (5) 981- 988
PubMed Link to Article[[XSLOpenURL/10.1111/bjd.2007.157.issue-5]]
James  JSaladi  RNFox  JL Traction alopecia in Sikh male patients. J Am Board Fam Med 2007;20 (5) 497- 498
PubMed Link to Article[[XSLOpenURL/10.3122/jabfm.2007.05.070076]]
Trüeb  RM “Chignon alopecia”: a distinctive type of nonmarginal traction alopecia. Cutis 1995;55 (3) 178- 179
Yang  AIorizzo  MVincenzi  CTosti  A Hair extensions: a concerning cause of hair disorders. Br J Dermatol 2009;160 (1) 207- 209
PubMed Link to Article[[XSLOpenURL/10.1111/bjd.2008.160.issue-1]]
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Figure 1.

Traction alopecia in a ballerina who wore her hair in a tight bun for 13 years. A, Thirteen months after discontinuing the hairstyle, her hair had begun to regrow in the area of hair loss on the left temporal scalp. B, However, traction alopecia had progressed by 7-year follow-up secondary to the attachment of a heavy hairpiece.

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Figure 2.

Histologic specimens of traction alopecia in the ballerina at 7-year follow-up. A, Transverse sections reveal a slightly reduced follicular density, follicular miniaturization, and retained sebaceous glands (hematoxylin-eosin, original magnification ×40). B, Fibrotic fibrous tracts were present in deeper portions of the dermis (hematoxylin-eosin, original magnification ×200).

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