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Trichotillomania

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Atlas of Pediatric Dermatoscopy

Abstract

Trichotillomania is an obsessive-compulsive disorder that frequently occurs in early childhood and adolescence. It is characterized by single or multiple, ill-defined patches of incomplete alopecia due to patient’s repetitive self-pulling of hair. In most cases, the clinical diagnosis may be challenging and dermatoscopy may be very helpful, showing the presence of multiple hairs broken at different lengths and fraying of the extremities. According to their appearance, broken hairs have variably been described and named (i.e., flame hairs, coiled hairs, tulip hairs, and V-sign). Regrowing hairs generally coexist with features of ongoing hair pulling.

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References

  1. Rozenman M, Peris TS, Gonzalez A, Piacentini J (2016) Clinical characteristics of pediatric trichotillomania: comparisons with obsessive-compulsive and tic disorders. Child Psychiatry Hum Dev 47:124–132

    Article  PubMed  Google Scholar 

  2. Diefenbach GJ, Reitman D, Williamson DA (2000) Trichotillomania: a challenge to research and practice. Clin Psychol Rev 20:289–309

    Google Scholar 

  3. Al-Refu K (2013) Hair loss in children: common and uncommon causes; clinical and epidemiological study in Jordan. Int J Trichology 5:185–189

    Article  PubMed  PubMed Central  Google Scholar 

  4. Chandran NS, Novak J, Iorizzo M et al (2015) Trichotillomania in children. Skin Appendage Disord 1:18–24

    Article  PubMed  PubMed Central  Google Scholar 

  5. Tay YK, Levy ML, Metry DW (2004) Trichotillomania in childhood: case series and review. Pediatrics 113:e494–e498

    Google Scholar 

  6. De Sousa A (2015) Trichotillomania by proxy. Int J Trichology 7:24–25

    Article  PubMed  PubMed Central  Google Scholar 

  7. Beattie KC, Hezel DM, Stewart SE (2009) Clinical case rounds in child and adolescent psychiatry: trichotillomania-by-proxy: a possible cause of childhood alopecia. J Can Acad Child Adolesc Psychiatry 18:51–52

    PubMed  PubMed Central  Google Scholar 

  8. Castelo-Soccio L (2014) Diagnosis and management of alopecia in children. Pediatr Clin N Am 61:427–442

    Article  Google Scholar 

  9. Zímová J, Zímová P (2016) Trichotillomania: bizzare patern of hair loss at 11-year-old girl. Acta Dermatovenerol Croat 24:150–153

    Google Scholar 

  10. Bhalla M, Sarkar R, Arun P, Kanwar AJ (2003) Trichotillomania. Indian Pediatr 40:52–56

    Google Scholar 

  11. Brzezinski P, Cywinska E, Chiriac A (2016) Report of a rare case of alopecia areata coexisting with trichotillomania. Int J Trichology 8:32–34

    Article  PubMed  PubMed Central  Google Scholar 

  12. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DC, pp 251–254

    Book  Google Scholar 

  13. Rakowska A, Slowinska M, Olszewska M, Rundnicka L (2014) New trichoscopy findings in trichotillomania: flame hairs, V-sign, hook hairs, hair powder, tulip hairs. Acta Derm Venereol 94:303–306

    Article  PubMed  Google Scholar 

  14. Miteva M, Tosti A (2015) Flame hair. Skin Appendage Disord 1:105–109

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lee DY, Lee JH, Yang JM, Lee ES (2009) The use of dermoscopy for the diagnosis of trichotillomania. J Eur Acad Dermatol Venereol 23:731–732

    Article  PubMed  Google Scholar 

  16. Haliasos EC, Kerner M, Jaimes-Lopez N et al (2013) Dermoscopy for the pediatric dermatologist part I: dermoscopy of pediatric infectious and inflammatory skin lesions and hair disorders. Pediatr Dermatol 30:163–171

    Article  PubMed  Google Scholar 

  17. Lacarrubba F, Micali G, Tosti A (2015) Scalp dermoscopy or trichoscopy. Curr Probl Dermatol 47:21–32

    Google Scholar 

  18. Torres F, Tosti A (2014) Trichoscopy: an update. G Ital Dermatol Venereol 149:83–91

    Google Scholar 

  19. Shim WH, Jwa SW, Song M et al (2014) Dermoscopic approach to a small round to oval hairless patch on the scalp. Ann Dermatol 26:214–220

    Article  PubMed  PubMed Central  Google Scholar 

  20. Lencastre A, Tosti A (2013) Role of trichoscopy in children's scalp and hair disorders. Pediatr Dermatol 30:674–682

    Article  PubMed  Google Scholar 

  21. Ise M, Amagai M, Ohyama M (2014) Follicular microhemorrhage: a unique dermoscopic sign for the detection of coexisting trichotillomania in alopecia areata. J Dermatol 41:518–520

    Article  PubMed  Google Scholar 

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Correspondence to Giuseppe Micali .

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Micali, G., Verzì, A.E., Dall’Oglio, F., Lacarrubba, F. (2018). Trichotillomania. In: Micali, G., Lacarrubba, F., Stinco, G., Argenziano, G., Neri, I. (eds) Atlas of Pediatric Dermatoscopy. Springer, Cham. https://doi.org/10.1007/978-3-319-71168-3_22

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  • DOI: https://doi.org/10.1007/978-3-319-71168-3_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71167-6

  • Online ISBN: 978-3-319-71168-3

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