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Curly textured hair in individuals of African descent has unique properties and can present diagnostic and therapeutic challenges. CCCA has been linked to uterine leiomyoma and type 2 diabetes mellitus, as well as fibroproliferation. TA often presents with a fringe sign and can arise from high\u2010tension hairstyles presumed to be protective. Trichoscopy is useful in establishing a diagnosis; perifollicular halos are more commonly seen than perifollicular erythema or scale in CCCA. In TA, miniaturized follicles, hair casts, and \u201cflambeau sign\u201d can be seen. Hairstyling practices likely contribute to TA and ATN; however, the data are mixed on the role of chemical relaxers and heat styling in CCCA. Unique considerations in the presentation of frontal fibrosing alopecia in curly textured hair have also been published recently. This review provides a comprehensive, up\u2010to\u2010date summary of these disorders with an emphasis on their unique properties, as well as considerations in hair care for curly textured hair.<\/jats:p>","DOI":"10.1111\/ijd.17184","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T04:13:39Z","timestamp":1713240819000},"page":"1145-1154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Updates on disorders in curly hair"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7376-3779","authenticated-orcid":false,"given":"Amaris N.","family":"Geisler","sequence":"first","affiliation":[{"name":"Department of Dermatology Emory University School of Medicine  Atlanta USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Taye","sequence":"additional","affiliation":[{"name":"Department of Dermatology Emory University School of Medicine  Atlanta USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Larrondo","sequence":"additional","affiliation":[{"name":"Department of Dermatology Wake Forest University School of Medicine  Winston\u2010Salem USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany T.","family":"Mayo","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Alabama at Birmingham  Birmingham USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Aguh","sequence":"additional","affiliation":[{"name":"Department of Dermatology Johns Hopkins School of Medicine  Baltimore USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"McMichael","sequence":"additional","affiliation":[{"name":"Department of Dermatology Wake Forest University School of Medicine  Winston\u2010Salem USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie B.","family":"MacKelfresh","sequence":"additional","affiliation":[{"name":"Department of Dermatology Emory University School of Medicine  Atlanta USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"Krueger","sequence":"additional","affiliation":[{"name":"Department of Dermatology Emory University School of Medicine  Atlanta USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.13042"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/abd1806\u20104841.20152845"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1816614"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.18463"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529\u20108019.2008.00208.x"},{"key":"e_1_2_8_7_1","volume-title":"Central centrifugal cicatricial alopecia. 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