AAFM Boards Dermatology Practice Test

The primary cause of traction alopecia is pulling hair back too tight. This condition occurs when the hair is subjected to consistent tension from styles that are pulled tightly, such as ponytails, braids, or extensions. Over time, this sustained pressure leads to stress on the hair follicles, which can result in inflammation and ultimately hair loss.

When hair is constantly styled in a way that strains the follicles, it can damage the hair roots, leading to thinning or shedding in the affected areas. Unlike other causes of hair loss such as hormonal changes, genetic factors, or the use of harsh hair products, traction alopecia is specifically associated with the mechanical stress applied to the hair and scalp. Therefore, understanding the importance of gentle hair care practices can help prevent this particular type of hair loss.