In addition to genetic hair loss, African Americans are more likely to suffer hair loss caused by traction alopecia, traction folliculitis and sebhorrheic dermatitis. Many also have difficulty getting their hair loss diagnosed properly. Traction alopecia and traction folliculitis occur more frequently in African Americans due to hair styling practices.

Hair Styles

African Americans are also more likely to style their hair with braids, especially popular for children. Many people use excessive pressure to coax curly hairs into a smooth braid. Hair extensions have become very popular among women of African descent. The natural hair and extensions are woven together very tightly, in order to achieve a neat finish.

As a result, many women (and some men) who frequently wear braids now suffer from traction folliculitis, especially around the hairline. Folliculitis is obvious when bumps and pustules form at the base of the hair shaft. They are often accompanied by redness of the skin, making this condition resemble common acne.

Underlying causes such as diabetes, existing dermatoses (sebhorrheic dermatitis, psoriasis, eczema), and obesity make some people a predisposed to folliculitis. In many cases, the onset of folliculitis is a warning. Untreated symptoms often result in alopecia.

Styling Practices

Common cultural practices for hair care among African Americans include applying pomades and heavy oil products to the hair shaft and scalp. This practice relieves dry, itchy scalp, but it also clogs hair follicles. The hair follicles become inflamed. The inflammation produces more discomfort that many treat by applying more oil. Without proper diagnosis and medical attention, this minor irritation can result in significant hair loss.

Sebhorrheic Dermatitis

Many African Americans experiencing hair loss are improperly diagnosed with alopecia. The reality is that sebhorrheic dermatitis is more likely the culprit. Dandruff or seborrhea affects all races of people. The white flakes that fall from the scalp are telltale signs of dandruff.

A closer examination of the scalp is necessary to diagnose sebhorrheic dermatitis. In addition to the flakes common to dandruff, scaly patches and inflammation are visible on the scalp. Sometimes the skin on the scalp is tender and painful.

The medical community has not determined the cause of this condition. There is some evidence that the buildup of sebum (oily secretions) on the scalp and in the hair follicles may play a significant role. Hair loss is common if the dermatitis is not treated. Hair regrowth treatments may be needed after the condition is cured.