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Case report
Traction Folliculitis: 6 Cases Caused by Different Types of Hairstyles That Pull on the Hair
Foliculitis por Tracción: Seis Casos Producidos por Diferentes Tipos de Peinado Tirante
F. Urbina
Autor para correspondencia
fcourbina@hotmail.com

Correspondence: Algeciras, 583, Las Condes, Santiago de Chile Chile.
, E. Sudy, M. Barrios
Dermatologists in private practice, Santiago de Chile, Chile
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        "titulo" => "Foliculitis por Tracci&#243;n&#58; Seis Casos Producidos por Diferentes Tipos de Peinado Tirante"
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            1 => "cuero cabelludo"
            2 => "fol&#237;culo piloso"
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        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Excessive hair traction caused by hairstyles that pull the hair too tightly may cause noninfectious mechanical and irritant folliculitis known as traction folliculitis&#46; We present a series of 6 cases of traction folliculitis caused by different hairstyles&#46; All patients were women aged between 12 and 26 years old&#46; Their hairstyles were braids&#44; ponytails&#44; pigtails&#44; cornrows&#44; and hair extensions in 2 patients&#46; The lesions consisted of small&#44; slightly painful&#44; follicular pustules confined to the sites of maximum hair traction and surrounded by erythema&#46; Only in 1 case were the lesions associated with traction alopecia&#46; In 2 cases in which bacterial cultures were done&#44; <span class="elsevierStyleItalic">Staphylococcus aureus</span> was isolated&#46; All patients improved after undoing their hairstyle and treatment with oral flucloxacillin&#46; We assume that the role of <span class="elsevierStyleItalic">S aureus</span> is secondary and opportunistic&#44; given that only follicles subject to traction and not the adjacent ones were affected&#46;</p>"
      ]
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La tracci&#243;n excesiva del cabello producida por peinados tirantes puede originar una foliculitis mec&#225;nica e irritativa&#44; no infecciosa&#44; conocida como foliculitis por tracci&#243;n&#46; Presentamos una serie de 6 casos de foliculitis por tracci&#243;n producida por diferentes tipos de peinado&#46; Todas las pacientes eran mujeres&#44; con edades entre 12 y 26 a&#241;os&#46; Sus peinados inclu&#237;an trencitas&#44; una cola de caballo&#44; coletas en ambos lados de la cabeza&#44; una coleta de macram&#233; y dos pacientes con extensiones de cabello&#46; Las lesiones consist&#237;an en diminutas p&#250;stulas foliculares levemente dolorosas&#44; rodeadas de eritema&#44; localizadas exclusivamente en &#225;reas de m&#225;xima tracci&#243;n del pelo&#46; Solo en un caso las lesiones se asociaron con alopecia por tracci&#243;n&#46; En dos casos en que se realiz&#243; cultivo bacteriano se aisl&#243; <span class="elsevierStyleItalic">Staphylococcus aureus</span>&#46; Todas las pacientes mejoraron tras deshacer su peinado y seguir tratamiento con flucloxacilina oral&#46; Presumimos que el papel del <span class="elsevierStyleItalic">S&#46; aureus</span> es secundario u oportunista&#44; dado que solo los fol&#237;culos sometidos a tracci&#243;n estaban afectados&#44; no as&#237; los adyacentes&#46;</p>"
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                    0 => array:2 [
                      "titulo" => "Traction folliculitis&#58; an underreported entity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;N&#46; Fox"
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                            2 => "D&#46;R&#46; Mehregan"
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                      "titulo" => "Traction alopecia"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;H&#46; Slepyan"
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                  ]
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                    0 => array:1 [
                      "Revista" => array:5 [
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                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;G&#46; Rollins"
                          ]
                        ]
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                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:6 [
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                      "titulo" => "Tricolog&#237;a&#46; Enfermedades del fol&#237;culo piloseb&#225;ceo"
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                          "autores" => array:2 [
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                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1996"
                        "editorial" => "Grupo Aula M&#233;dica S&#46;A&#46;"
                        "editorialLocalizacion" => "Madrid"
                      ]
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                      "titulo" => "An approach to the diagnosis and management of patchy&#44; non-scarring hair loss"
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                  ]
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                    0 => array:1 [
                      "Revista" => array:5 [
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                      "doi" => "10.1111/j.1365-2133.2007.08146.x"
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                        0 => array:2 [
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                            0 => "V&#46;D&#46; Callender"
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                      "doi" => "10.1111/j.1396-0296.2004.04017.x"
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                        "fecha" => "2004"
                        "volumen" => "17"
                        "paginaInicial" => "164"
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ISSN: 15782190
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