Cultural Trichotillomania: A Look at Eyebrow Loss in India

    October 2025 in “ Indian Dermatology Online Journal ”
    Dipra Biswas, Prajakta Waghmare, Suman Patra
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    TLDR Cultural practices can influence trichotillomania, requiring culturally sensitive treatment.
    The article discusses a case of culturally influenced trichotillomania (TTM) in a 10-year-old girl from India, who developed eyebrow hair loss after mimicking the ritualistic hair plucking practices of Jain monks, known as "Kesha lochan." This behavior, influenced by cultural and familial factors, led to symmetrical non-scarring alopecia on her eyebrows. The case highlights the importance of considering cultural practices in diagnosing and treating TTM, as these practices can significantly shape body-focused repetitive behaviors. The treatment involved counseling and habit reversal techniques, emphasizing the need for a culturally sensitive approach in managing such conditions.
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