TLDR An 11-year-old girl with compulsive hair pulling was successfully treated with therapy and medication.
The document detailed a case of Trichotillomania (TTM), a disorder causing compulsive hair pulling, in an 11-year-old girl who had been misdiagnosed with alopecia areata. She had a 2-month history of hair loss in the frontoparietal and parietotemporal area. A dermatological examination, trichoscopy, and skin biopsy confirmed TTM. She also showed mood changes, social withdrawal, and sibling rivalry. Treatment included cognitive behavioral therapy, mild shampoo, mild topical steroids, and methionine in capsules, which were successful with parental cooperation. The document also briefly discussed TTM's prevalence, etiology, diagnostic criteria, and management.
5 citations,
October 2012 in “Expert Review of Dermatology” Trichoscopy is a useful tool for diagnosing hair and scalp diseases without needing skin biopsies.
1 citations,
October 2013 in “Expert Review of Dermatology” Diagnosing alopecia areata is challenging and requires careful examination and various tests to distinguish it from other hair loss types.
July 2018 in “Elsevier eBooks” The most common cause of hair loss in children is tinea capitis, followed by alopecia areata and telogen effluvium.
29 citations,
June 2013 in “Journal of the Saudi Society of Dermatology & Dermatologic Surgery” Alopecia areata is an autoimmune hair loss condition treated with corticosteroids, and histologic confirmation is the best diagnosis method.
1 citations,
January 2017 in “International Journal of Dermoscopy” Dermoscopy is useful for identifying and tracking different types of hair loss without scarring.
6 citations,
October 2022 in “American journal of clinical dermatology” The review shows how to properly diagnose and treat the loss of eyebrow and eyelash hair.