TLDR Trichotillomania is a disorder where people compulsively pull out their hair, treated with drugs and behavior therapy.
The document discussed trichotillomania (TT), an impulse control disorder where individuals have a compulsive urge to pull out their own hair, affecting approximately 8 million Americans, predominantly children, with onset at 8 years for males and 12 years for females. TT is characterized by distinct alopecia patterns without skin inflammation and can be diagnosed through histological features like distorted follicular anatomy and pigment casts. Treatment typically involves a mix of drug and behavioral therapies, particularly for cases lasting over three months. Histological signs of TT include incomplete follicular anatomy, trichomalacia, pigment casts, and peri- and intrafollicular hemorrhage, with diagnosis relying on both clinical and histological evaluations.
83 citations,
January 2001 in “American journal of clinical dermatology” Clomipramine may significantly reduce hair-pulling in Trichotillomania, but more research is needed on treatments and early onset cases.
122 citations,
April 1995 in “Journal of Cutaneous Pathology” The document describes how to tell different types of non-scarring hair loss apart by looking at hair and scalp tissue under a microscope.
26 citations,
January 1993 in “Dermatology” Exclamation mark hairs are not exclusive to alopecia areata.
17 citations,
September 2012 in “Dermatologic Clinics” The conclusion is that accurate diagnosis of different types of hair loss requires careful examination of tissue samples and understanding of clinical symptoms.
122 citations,
April 1995 in “Journal of Cutaneous Pathology” The document describes how to tell different types of non-scarring hair loss apart by looking at hair and scalp tissue under a microscope.
April 2012 in “Informa Healthcare eBooks” Tight hairstyles can cause temporary or permanent hair loss, with less hair seen under a microscope in later stages.
90 citations,
June 2006 in “The American Journal of Dermatopathology” The document concludes that accurate diagnosis of different types of hair loss requires careful examination of hair and scalp tissue, considering both clinical and microscopic features.
9 citations,
November 2009 in “Journal of the European Academy of Dermatology and Venereology” Cutting scalp biopsies in consecutive slices improves diagnosis of hair loss conditions.
