RT Book, Section A1 Issa, Naiem A1 Tosti, Antonella A2 Tosti, Antonella A2 Piraccini, Bianca Maria SR Print(0) ID 1201699468 T1 Ethnic Hair Disorders T2 Disorders of the Hair and Nail: Diagnosis and Treatment YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781260462470 LK dermatology.mhmedical.com/content.aspx?aid=1201699468 RD 2023/12/09 AB SUMMARYAfrican hair has unique morphology where the hair follicle is curved/twisted with variable shaft diameter rather than straight with consistent diameter as found in Asians and Caucasians. African hair also has low lipid content. This renders the hair more brittle and susceptible to hair breakage.Hairstyles play an important role for many hair disorders in patients of African descent. Traumatic practices such as hot combing, chemical relaxers and dyes lead to acquired trichorrhexis nodosa (hair breakage) while tension-producing hair styles such as braids and weaves lead to traction alopecia.The helical nature of African hair can lead to ingrown hairs that penetrate back into the skin, causing inflammatory papules, pustules, and nodules found in pseudofolliculitis barbae in the beard or acne keloidalis nuchae in the occipital scalp.Central centrifugal cicatricial alopecia (CCCA) and dissecting cellulitis are primary inflammatory cicatricial hair disorders with higher prevalence in patients of African descents.