{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T02:40:59Z","timestamp":1791081659320,"version":"4.1.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Traction alopecia is common and preventable but frequently overlooked disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate patients with traction alopecia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This study was conducted at the Dermatology Center, Medical City, Baghdad, Iraq, during the period from November 2005 to October 2019. Demographic features like age, gender, disease duration and special hair styling practices and accessories were recorded. Clinical patterns were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty female patients were included in this study. Their ages ranged from 6 to 47 years with mean age \u00b1 SD was 15.63 \u00b1 9.806. Twenty-one (70%) were below the age of 16 years. No patient had tightly curled hair. All cases were asymptomatic apart from hair loss. The fringe sign was observed in 27 (90%) of cases. The response to therapy was poor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Traction alopecia is an important type of pressure-induced hair loss evident in children and adults with or without curly hair due mainly due to cultural hair styling practices with its frequency apparently increasing in recent years. The fringe sign is common and of diagnostic importance. It is a preventable form of hair loss which can be reversed if diagnosed early; otherwise, permanent scarring alopecia results. It represents a pressure phenomenon evident worldwide in both non-Sub-Saharan lineage and Sub-Saharan lineage individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijd.ijd_648_20","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T12:21:06Z","timestamp":1716985266000},"page":"445","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":18,"title":["Traction Alopecia"],"prefix":"10.4103","volume":"66","author":[{"given":"Khalifa E.","family":"Sharquie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesal K.","family":"Aljanabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila K.","family":"Janniger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-32-20240829","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1159\/000504233","article-title":"Pressure-induced alopecia: Presence of thin hairs as a trichoscopic clue for the diagnosis","volume":"6","author":"Tortelly","year":"2020","journal-title":"Skin Appendage Disord"},{"key":"R2-32-20240829","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.jaad.2016.02.1162","article-title":"All hairstyles are not created equal: What the dermatologist needs to know about black hairstyling practices and the risk of traction alopecia (TA)","volume":"75","author":"Haskin","year":"2016","journal-title":"J Am Acad Dermatol"},{"key":"R3-32-20240829","first-page":"64","article-title":"Alopecia in women","volume":"16","author":"Steinberg","year":"1970","journal-title":"Can Fam Physician"},{"key":"R4-32-20240829","doi-asserted-by":"crossref","first-page":"149","DOI":"10.2147\/CCID.S137296","article-title":"Traction alopecia: The root of the problem","volume":"11","author":"Billero","year":"2018","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"R5-32-20240829","first-page":"1404","article-title":"Die krankheiten der Eskimos in West-Gr\u00f6nland","volume":"20","author":"Trebitsch","year":"1907","journal-title":"Wiener Klin Wochenschr"},{"key":"R7-32-20240829","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/j.1365-2133.1957.tb13278.x","article-title":"Traumatic marginal alopecia; a special type: Alopecia groenlandica","volume":"69","author":"Hjorth","year":"1957","journal-title":"Br J Dermatol"},{"key":"R8-32-20240829","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/j.1365-2133.1946.tb11325.x","article-title":"Traumatic marginal alopecia due to traction on the hair","volume":"58","author":"Costa","year":"1946","journal-title":"Br J Dermatol"},{"key":"R9-32-20240829","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1001\/archderm.1941.01500060103009","article-title":"Alopecia liminaris frontalis: Comment on causation and report of four cases","volume":"44","author":"Spencer","year":"1941","journal-title":"Arch Dermatol Syphilol"},{"key":"R10-32-20240829","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/j.1365-2133.1958.tb13343.x","article-title":"The nylon brush","volume":"70","author":"Savill","year":"1958","journal-title":"Br J Dermatol"},{"key":"R11-32-20240829","doi-asserted-by":"crossref","first-page":"175","DOI":"10.2147\/CCID.S100816","article-title":"Central centrifugal cicatricial alopecia: Challenges and solutions","volume":"9","author":"Herskovitz","year":"2016","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"R12-32-20240829","doi-asserted-by":"crossref","first-page":"16","DOI":"10.5070\/D31H81C7S1","article-title":"The \"fringe sign\" for public education on traction alopecia","volume":"18","author":"Khumalo","year":"2012","journal-title":"Dermatol Online J"},{"key":"R13-32-20240829","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1111\/ijd.13846","article-title":"Traction alopecia","volume":"57","author":"Aguado Lobo","year":"2018","journal-title":"Int. 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