Isolated Eyebrow And Eyelash Trichotillomania Mimicking Alopecia Areata

    February 2006 in “ International Journal of Dermatology ”
    Mohammad Radmanesh, S. Shafiei, Amir H. Naderi
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    Studysummary This study concluded that isolated trichotillomania of the eyebrows and eyelashes, identified by specific hair characteristics, may be linked to underlying obsessive-compulsive disorders in affected patients. Our plain-language summary of this paper — not a Tressless recommendation.
    The study focused on seven children and young adults with isolated eyebrow and eyelash alopecia, initially suspected to be alopecia areata (AA) but diagnosed as trichotillomania (TM) based on clinical criteria. TM was characterized by hairs broken at different levels, tufted, tortuous, and some abnormally long. Interviews with patients and their parents revealed underlying psychopathologies, primarily obsessive-compulsive disorders (OCD) and obsessive-compulsive spectrum disorders (OCSDs). The study concluded that TM should be considered in cases of isolated eyebrow and eyelash alopecia when hair characteristics align with TM rather than AA.
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