DermAtlas: Online Dermatology Image Library dermatology image,alopecia, traumatic,hair pulling,alopecia, traumatic,alopecia, traumatic, hair pulling,alopecia areata,alopecia, traumatic, hair pulling,alopecia, traumatic, hair pulling,alopecia, traumatic,trichotillomania,alopecia, traumatic, hair pulling,alopecia, traumatic, hair pulling,alopecia, traumatic, hair pulling

© 2001-2010, DermAtlas	*Image Name:*	traumatic_hair_loss_1_090308	*File Type:*	jpg
	*Diagnosis:*	ALOPECIA, TRAUMATIC / ALOPECIA / HAIR PULLING	*Category:*	/ hair disorders
	*Body Site:*	scalp	*Age:*	12 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	crescent shaped patch of broken hairs
	*Comments:*	This healthy 12-year-old girl had a large patch of hear caught in a door resulting in breakage and avulsion of hair. Note the unusual shape of the patch and th presence of hairs of varying lengths. The skin was completely normal.
	*Related Images:*	traumatic_hair_loss_2_090308

© 2001-2010, DermAtlas	*Image Name:*	traumatic_hair_loss_2_090308	*File Type:*	jpg
	*Diagnosis:*	ALOPECIA, TRAUMATIC / ALOPECIA / HAIR PULLING	*Category:*	/ hair disorders
	*Body Site:*	scalp	*Age:*	12 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	crescent shaped patch of broken hairs
	*Comments:*	This healthy 12-year-old girl had a large patch of hear caught in a door resulting in breakage and avulsion of hair. Note the unusual shape of the patch and th presence of hairs of varying lengths. The skin was completely normal.
	*Related Images:*	traumatic_hair_loss_1_090308

© 2001-2010, DermAtlas	*Image Name:*	hair_pulling_1_071228	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / ALOPECIA, TRAUMATIC, HAIR PULLING / ALOPECIA AREATA / ALOPECIA	*Category:*	factitial / self Induced disorders / psychodermatosis / hair disorders
	*Body Site:*	scalp	*Age:*	15 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	diffuse right sided non-scarring alopecia with hairs of differing lengths
	*Comments:*	This otherwise healthy 15 month old twin girl had a 2 month history of diffuse, progressive hair loss with striking geometric pattern involving the right anterior, parietal, temporal and vertex of the scalp. She was noted to pull her hair forcefully multiple times during the examination. A component of alopecia areata was also suspected. Eyebrows and eyelashes were intact. Trichogram was normal. Unlike trichotillomania in older children, hair pulling has a uniformly good prognosis over the course of several months to years.
	*Related Images:*	All related Images hair_pulling_3_071228 hair_pulling_2_071228

© 2001-2010, DermAtlas	*Image Name:*	hair_pulling_2_071228	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / ALOPECIA, TRAUMATIC, HAIR PULLING / ALOPECIA AREATA / ALOPECIA	*Category:*	factitial / self Induced disorders / psychodermatosis / hair disorders
	*Body Site:*	scalp	*Age:*	15 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	diffuse right sided non-scarring alopecia with hairs of differing lengths
	*Comments:*	This otherwise healthy 15 month old twin girl had a 2 month history of diffuse, progressive hair loss with striking geometric pattern involving the right anterior, parietal, temporal and vertex of the scalp. She was noted to pull her hair forcefully multiple times during the examination. A component of alopecia areata was also suspected. Eyebrows and eyelashes were intact. Trichogram was normal. Unlike trichotillomania in older children, hair pulling has a uniformly good prognosis over the course of several months to years.
	*Related Images:*	All related Images hair_pulling_3_071228 hair_pulling_1_071228

© 2001-2010, DermAtlas	*Image Name:*	hair_pulling_3_071228	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / ALOPECIA, TRAUMATIC, HAIR PULLING / ALOPECIA AREATA / ALOPECIA	*Category:*	factitial / self Induced disorders / psychodermatosis / hair disorders
	*Body Site:*	scalp	*Age:*	15 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	diffuse right sided non-scarring alopecia with hairs of differing lengths
	*Comments:*	This otherwise healthy 15 month old twin girl had a 2 month history of diffuse, progressive hair loss with striking geometric pattern involving the right anterior, parietal, temporal and vertex of the scalp. She was noted to pull her hair forcefully multiple times during the examination. A component of alopecia areata was also suspected. Eyebrows and eyelashes were intact. Trichogram was normal. Unlike trichotillomania in older children, hair pulling has a uniformly good prognosis over the course of several months to years.
	*Related Images:*	All related Images hair_pulling_2_071228 hair_pulling_1_071228

© 2001-2010, DermAtlas	*Image Name:*	Alopecia_1_060915	*File Type:*	jpg
	*Diagnosis:*	ALOPECIA, TRAUMATIC / HAIR PULLING	*Category:*	hair disorders
	*Body Site:*	head / scalp	*Age:*	8 years
	*Contributor:*	Nikolaos Sferopoulos, MD
	*Description:*	4.0 cm round patch of hair loss with hairs of varying lengths and no erythema or crusting
	*Comments:*	A healthy 8-year-old boy experienced a patch of hair loss ojn the back of his scalp following the death of his grandmother 2 months ago. The hairs of varying lengths and lack of complete hair loss would favor traumatic alopecia over alopecia areata.

© 2001-2010, DermAtlas	*Image Name:*	Trichotillomania_1_051205	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA / HAIR PULLING	*Category:*	hair disorders / factitial / self Induced disorders / psychodermatosis
	*Body Site:*	head / scalp	*Age:*	44 years
	*Contributor:*	Angela Stefanich, RN
	*Description:*	well demarcated patch of hair thinning
	*Comments:*	This 44-year-old man developed a well demarcated patch of dramatic hair thinning. The scalp was otherwise normal.

© 2001-2010, DermAtlas	*Image Name:*	hairpulling_9_030217	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / ALOPECIA / ALOPECIA, TRAUMATIC, HAIR PULLING	*Category:*	hair disorders / factitial / self Induced disorders / psychodermatosis / Iatrogenic disorders, child abuse,
	*Body Site:*	scalp	*Age:*	4 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	well demarcated patch of decreased hair density with shiny lusterless hair and hairs of varying lengths
	*Comments:*	This healthy 4-year-old girl was observed twirling her hair at nap time and bed time resulting a well demarcated patches of hair thinning. She also had dry lusterless hairs of varying lengths giving a moth eaten appearance. The hair loss disappeared a year later when she entered kindergarten.

© 2001-2010, DermAtlas	*Image Name:*	hairpulling_8_030217	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / ALOPECIA / ALOPECIA, TRAUMATIC, HAIR PULLING	*Category:*	hair disorders / factitial / self Induced disorders / psychodermatosis / Iatrogenic disorders, child abuse,
	*Body Site:*	scalp	*Age:*	3 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	diffuse hair thinning and broken hairs
	*Comments:*	This healthy 3-year-old girl was observed twirling her hair at nap time and bed time resulting in widespread areas of hair thinning with broken coarse hairs.

© 2001-2010, DermAtlas	*Image Name:*	hairpulling_2_030217	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / ALOPECIA / ALOPECIA, TRAUMATIC, HAIR PULLING	*Category:*	hair disorders / factitial / self Induced disorders / psychodermatosis / Iatrogenic disorders, child abuse,
	*Body Site:*	scalp	*Age:*	4 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	well demarcated patch of decreased hair density
	*Comments:*	This healthy 4-year-old girl was observed twirling her hair at nap time and bed time resulting a well demarcated patches of hair thinning. The hair loss disappeared a year later when she entered kindergarten.