Fox Gary N, Stausmire Julie M, Mehregan Darius R
Medical University of Ohio, Toledo, USA.
Cutis. 2007 Jan;79(1):26-30.
Traction folliculitis is a component of traction alopecia syndrome and has received minimal attention in primary source medical literature. The popularity of hairstyles that produce hair traction and the knowledge that early intervention improves prognosis amplify the importance of recognizing this entity. Traction folliculitis presents as perifollicular erythema and pustules on the scalp in areas where hairstyles produce traction on the hair shaft. In addition to the traction, concurrent hair care practices may play a facilitatory role in the development of traction folliculitis. Treatment involves immediate removal of traction on hair and temporary alteration of the facilitatory hair care practices. In more severe cases, topical or systemic antibacterial therapy and, occasionally, topical corticosteroid therapy may be necessary. Failure to discontinue traction-producing hairstyles can lead to traction alopecia and irreversible hair loss. Cultural considerations often are paramount in hairstyle choices and hair care practices that cause predisposition to traction disorders. Thus, culturally competent counseling requires understanding the significance of the hairstyle and hair care practices to the patient (or caregivers), discussing the recommendations in a culturally sensitive manner, and negotiating mutually acceptable alternative practices.
牵引性毛囊炎是牵引性脱发综合征的一个组成部分，在医学文献的主要来源中受到的关注极少。造成头发牵引的发型很流行，而且早期干预可改善预后这一认识，凸显了识别这一病症的重要性。牵引性毛囊炎表现为头皮上发型对发干产生牵引的部位出现毛囊周围红斑和脓疱。除了牵引之外，同时进行的头发护理做法可能在牵引性毛囊炎的发生中起促进作用。治疗包括立即消除对头发的牵引，并暂时改变起促进作用的头发护理做法。在更严重的情况下，可能需要局部或全身抗菌治疗，偶尔还需要局部使用皮质类固醇治疗。不停止产生牵引的发型会导致牵引性脱发和不可逆转的脱发。文化因素在导致易患牵引性疾病的发型选择和头发护理做法中往往至关重要。因此，具备文化能力的咨询需要了解发型和头发护理做法对患者（或护理人员）的重要性，以文化敏感的方式讨论建议，并协商双方都能接受的替代做法。
