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Hair casts may be caused by repetitive hair pulling or styling and are often misdiagnosed.

A young man's cheek papule was identified as a benign hair follicle tumor using a skin surface microscope.

The boy had trichotillomania, causing hair loss, and treatment focused on habit reversal and support.

Dermoscopy improves diagnosis of hair and scalp disorders and can help avoid unnecessary biopsies.

Good haircare and communication with doctors are key for managing hair loss.