TLDR Elaborate princess hairstyles at a theme park caused hair loss and scalp damage in young girls.
The document described two cases of localized alopecia in young girls following elaborate hairstyling known as the “Princess Package” at a major U.S. theme park. The alopecia was preceded by pain, erythema, and delayed crusting due to scalp necrosis. While most of the affected areas showed regrowth at follow-up, small areas of scarring alopecia persisted. The authors suggested that the alopecia was caused by a combination of pressure ischemia and acute traction alopecia.
24 citations
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July 2014 in “British Journal of Anaesthesia” Long surgeries can cause temporary hair loss due to pressure on the scalp.
59 citations
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August 2010 in “Journal of The American Academy of Dermatology” Certain hairstyles and less hair oil use in African American girls can lead to scalp conditions like traction alopecia and seborrheic dermatitis.
34 citations
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November 2008 in “British Journal of Dermatology” Hair extensions can cause hair loss and scalp damage, and these problems might be more common than people realize.
5 citations
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October 2018 in “Burns” Most patients who had scalp skin removed for burns as children had normal hair growth and were satisfied years later.
4 citations
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July 2015 in “Case Reports in Dermatology” A woman with unexplained hair loss was found to have harmless skin tumors and a scarring hair loss condition, but the tumors didn't cause the hair loss.
