Arch Dermatol. 1992;128(1):68
The follicular degeneration syndrome in black patients. 'Hot comb alopecia' revisited and revised.
Sperling LC, Sau P.
BACKGROUND--The history, physical examination, and histologic findings in 10 black women with a common, distinctive form of scarring alopecia ( hair loss ) were retrospectively studied. A detailed history of hair care habits was obtained, and scalp biopsy specimens were examined after both vertical and transverse sectioning. OBSERVATIONS--Poor correlation is noted between the usage of a hot comb and the onset or progression of disease. The earliest observable histologic abnormality is the premature desquamation of the inner root sheath. In severely affected follicles this is followed by a chain of histologic events leading to complete follicular degeneration. CONCLUSIONS--The term follicular degeneration syndrome (FDS) is proposed for this clinically and histologically distinct form of scarring alopecia. Historical information is incompatible with the hypothesis that hot comb usage causes the hair loss. It remains unclear whether the use of any of a variety of hair care products and techniques plays a role in the pathogenesis of this condition. ..snip...
( edited for hair loss treatment blog )
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