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Central centrifugal cicatrical (hot comb) alopecia: This condition predominantly affects adult black women. Hair loss often starts in the middle of the central scalp and with time spreads out in a spiral fashion around this area.
Traction alopecia: Various grooming styles such as hair extensions, braids, cornrows, weaves and ponytails can place extensive tension on the hair.
With time this can damage hair making them thin and wispy. If this is sustained over a long period of time this can result in long term hair loss in the area where tension is placed on the scalp.
Trichotillomania (compulsive hair-pulling): In this condition, patients suffer from patchy hair loss as a result of repeated habitual hair pulling. This is often associated with psychological stress.