1. Afro-textured hair is more fragile and prone to breakage due to its structural characteristics.
2. Tight hairstyles, chemical relaxers, and heat styling increase risk of traction alopecia and central centrifugal cicatricial alopecia.
3. Prolonged traction and inflammation can lead to permanent scarring hair loss.
4. Early diagnosis and culturally informed counseling are essential to prevent progression.
5. Physician education gaps contribute to delayed recognition and disparities in care.

Source: International Journal of Women’s Dermatology