Girls who plait
their hair too
tightly or
scrape it back
in braids or a
ponytail may be
at risk of
permanent hair
loss,
researchers
suggest.
Hairstyles
such as corn
rows or braids
and those that
require chemical
straighteners,
weaves or hair
extensions can
damage hair and
cause bald
patches over
time, the
British Journal
of Dermatology
reports today.
Related
diseases of the
scalp, skin and
hair are thought
to affect people
of African
descent
particularly.
However,
dermatologists
have underlined
the dangers of
excessive
treatment or
scraping back
for any hair
type.
The tight bun
styles favoured
by ballet
dancers, the
corn rows once
sported by David
Beckham or the
dramatic
“Croydon
facelift” look
parodied by
Vicky Pollard,
the Little
Britain
character, could
all potentially
cause problems,
they said.
A study of
nearly 2,000
adults and
children in
South Africa
found that one
in seven
schoolgirls and
a third of women
were suffering
from “traction
alopecia”, hair
loss thought to
be caused by
excessive and
prolonged
pulling of the
hair.
One in ten
African men was
found to have a
skin disorder
known as “acne
keloidalis
nuchae”, which
can cause
pimples,
scarring and
hair loss at the
back of the
head.
The
researchers,
from the
University of
Cape Town,
linked the
condition to the
frequent
close-shave
haircuts that
are popular
among black men,
but said that
they could also
increase the
risk of
blood-borne
infections.
Hair loss was
found to be more
common in
children whose
hair had been
chemically
“relaxed” or
straightened to
form a ponytail.
One in five
children with
relaxed hair had
traction
alopecia,
against just one
in twenty of
those with
natural hair.
In adults,
hair loss was
found to be more
likely among
women with
either “relaxed”
hair or braided
natural hair, as
against natural
hair without
braids; and it
was most common
when the hair
was relaxed and
also had
extensions (such
as braids or
weaves)
attached. “This
suggests that
relaxed hair may
be weakened and
less resistant
to traction,
such as is
caused by
attaching
extensions to
the hair,” the
researchers
write.
Men’s
haircuts were
found to be
shorter, more
frequent and
more likely to
cause accidental
cuts and
bleeding, which
could lead to
skin problems or
infections, the
researchers
said.
One of the
authors, Dr
Nonhlanhla
Khumalo said:
“Traction
alopecia is
common in women
and girls,
particularly
when relaxed
hair has braids,
extensions or
weaves attached.
This can cause
unsightly hair
loss.
“AKN [acne
keloidalis
nuchae] appears
more common in
men who
frequently cut
their hair, and
is linked to
haircut-associated
symptoms, such
as pimples,
crusts and
bleeding. To
achieve the
shortest
possible
haircut,
electric shavers
are often dug
into the scalp.
The possible
risk for
blood-borne
disease
transmission,
such as viral
hepatitis and
HIV, associated
with such
haircuts needs
to be quantified
and
nonmechanical
methods of
cutting hair may
be safer.”
The study
found that a
further 7 per
cent of women
aged over 50
years had
central
centrifugal
cicatricial
alopecia -
permanent hair
loss that
spreads from the
centre of the
scalp. While
hair relaxers
are thought to
play a part in
this, the exact
cause is
unknown.
Andrew
McDonagh, a
consultant
dermatologist at
the Royal
Hallamshire
Hospital in
Sheffield, said
yesterday that
the findings
confirmed
previous
anecdotal
evidence that
traction
alopecia could
be caused by
particular hair
styles.
“We see a
number of black
patients with
traction
alopecia each
year and it’s
recognised to be
a major problem,
especially in
the US where
there is a large
black
population,” he
said. “But you
see other
patients with
the condition,
who may have
treated their
hair or worn it
pulled back from
the scalp.”