Bibbidi bobbidi bald: Two "hairowing" tales of Princess Package hairstyles

Acute onset traction-associated ulceration and alopecia

Traction alopecia is a protracted form of hair loss resulting from persistent tension on the hair follicle . We report a case of a 9-year-old African American girl who presented with extensive scalp ulceration and alopecia 11 days after placement of a synthetic hair braid. Over a period of months, with consistent wound care and low-tension hairstyling, most of the hair regrew. We propose that the ulceration and hair loss in this case represents an acute variant of traction alopecia due to pressure-induced ischemia and necrosis.

Rapunzel Alopecia: A Peculiar Form of Non-Marginal Traction Alopecia Secondary to Excessively Long Hair

Traction alopecia (TA) is an underreported scarring alopecia in children and adolescents. TA occurs from chronic tensile forces on the hair and can be caused by different hairstyles that pull the hair tightly, such as regularly wearing braids, ponytails, cornrows, dreadlocks, and weaves, or by treating hair with rollers, hair extensions, or chemical relaxers.