Traumatic Alopecia from Brush Rollers

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Abstract
An increase in the amount of hair thinning presented by women has been the subject of many articles recently in both the medical and lay press.1-3 After seeing a considerable number of these patients, particularly an interesting group whose complaint was localized patches of alopecia, I began to search for a common denominator to explain this phenomenon. Questioning these women, as to a source of trauma or injury to their scalps, they admitted to the use of brush rollers to set their hair, anchoring the roller to the scalp with a large plastic pin, provided by the manufacturer, or with a large bobby pin (Fig. 1). A relationship could be established of (1) use of brush rollers; (2) injury to the scalp with the anchoring pin; (3) development of patchy baldness. The patches of alopecia of this group of patients was typically in the midline of the scalp extending

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