Trichotillomania | Figure 3.51
A: Alopecia areata
B: Trichotillomania
(Courtesy of Dr. Paul Getz)
C: Telogen effluvium |
(Figure 3.51B) - Non-scarring alopecia due to habitual hair pulling typically in young girls, may be classified as obsessive-compulsive disorder
- Presents with alopecia of varying lengths of broken hair in localized area over scalp, eyebrows, or eyelashes
- Histology: deformed hair shafts (trichomalacia), empty follicles, pigmented hair casts in follicles, ± perifollicular infiltrate or fibrosis
- Treatment: behavior modification, SSRIs helpful
|
