Definition
Alopecia is a disease that can cause hair loss anywhere on the body. Many people with alopecia may develop unpredictable hair loss including a round or oval bald patch on their scalp and nail changes, but tend to remain in good health. Although alopecia can affect anyone, Black women are more prone to experience hair loss and often go undiagnosed. In fact, a condition called central centrifugal cicatricial alopecia (CCCA), a disorder in which inflammation and destruction of hair follicles causes scarring and permanent hair loss, is the leading cause of hair loss in Black women.
Black women are also more prone to traction alopecia, a type of hair loss that is caused by styles that pull the hair too tight.
Black women may also be affected by other hair disorders such as female pattern baldness.
A Black Women’s Health Study at Boston University’s Slone Epidemiology Center showed that of 5,594 women surveyed, 47.6 percent reported hair loss on the crown or top of the scalp.
Despite such a large number of Black women affected by alopecia, many don’t know that they should visit a dermatologist causing many to go undiagnosed. Of those surveyed, 81.4 percent indicated that they had never seen a physician about hair loss. Additionally, while 40.9 percent of respondents reported a level of hair loss consistent with CCCA, only 8.8 percent said a doctor had diagnosed them with this condition.
Causes
One major cause of hair loss in Black women is genetic predisposition. Another risk factor for hair loss is frequently engaging in damaging hairstyling practices like braiding, weaves and chemical relaxing.
Doctors are unsure why alopecia happens, but believe that genes may play an important role.
The following can increase your risk of developing alopecia: