A Case of Loose Anagen Hair Syndrome Associated With Trichotillomania in a 14-Year-Old Girl

    May 2024 in “ Cosmoderma
    Naveen Thomas, Johny Vakayil Francis, R. Athira
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    TLDR A 14-year-old girl with a condition that makes her hair easy to pull out also has a hair-pulling disorder, and treatment helped but she relapsed after a year.
    A 14-year-old girl with loose anagen hair syndrome (LAHS) and trichotillomania (TTM) was diagnosed through clinical examination, hair pull tests, trichoscopy, and histopathology. LAHS is characterized by easily pluckable anagen hair, while TTM involves compulsive hair-pulling. The patient was treated with topical minoxidil and psychiatric counseling, resulting in initial improvement. However, she experienced a relapse due to continued hair-pulling during stress. The study highlights the importance of a combined dermatological and psychological treatment approach for managing this rare dual condition, emphasizing the need for increased clinical awareness and further research to improve long-term outcomes.
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