title: Ten pearls every dermatologist should know about the appropriate use of relaxers.
abstract: Chemical relaxers are products marketed to straighten the hair and have been principally used by African Americans since the early twentieth century. They contain alkaline agents that break and reform hydrogen and disulfide bonds, leaving hair permanently straightened. Relaxers cause loss of tensile strength and increased fragility of the hair shaft that lead to increased risk of hair breakage and thinning. When used improperly, they can also cause local irritant contact dermatitis and chemical burns to the scalp and hairline that can potentially lead to a scarring alopecia. After interviewing several cosmetology educators in the field and reviewing the literature, we generated a list of ten pearls that all dermatologists should know about relaxers to provide professional guidance to their patients.
authors.affiliation: Division of Dermatology, Medical College of Georgia, Augusta University, formerly Georgia Regents University, Augusta, GA, USA.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Richardson
authors.affiliation: Division of Dermatology, Medical College of Georgia, Augusta University, formerly Georgia Regents University, Augusta, GA, USA.
authors.forename: Ada T
authors.initials: AT
authors.lastname: Agidi
authors.affiliation: Division of Dermatology, Medical College of Georgia, Augusta University, formerly Georgia Regents University, Augusta, GA, USA.
authors.forename: Erica R
authors.initials: ER
authors.lastname: Eaddy
authors.affiliation: Division of Dermatology, Medical College of Georgia, Augusta University, formerly Georgia Regents University, Augusta, GA, USA.
authors.forename: Loretta S
authors.initials: LS
authors.lastname: Davis
mesh_terms: D000468:Alkalies / Q000009:adverse effects / Q000494:pharmacology*; D001461:Barbering / Q000379:methods; D002057:Burns, Chemical / Q000209:etiology; D003357:Cosmetic Techniques; D003877:Dermatitis, Contact / Q000209:etiology; D003880:Dermatology; D006197:Hair / Q000187:drug effects* / Q000502:physiology; D006203:Hair Preparations / Q000009:adverse effects / Q000494:pharmacology*; D006801:Humans; D016062:Porosity
chemical_list: D000468:Alkalies; D006203:Hair Preparations
keywords: African hair; afro-centric hair; afro-textured hair; chemical relaxers; cosmetic