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

© 2001-2010, DermAtlas	*Image Name:*	trichotillomania_1_060109	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA	*Category:*	factitial / self Induced disorders / psychodermatosis
	*Body Site:*	scalp	*Age:*	24 years
	*Contributor:*	Rakhesh SV, MD
	*Description:*	linear patch of complete hair loss
	*Comments:*	This 24-year-old man had an episode of patchy hair loss diagnosed as alopecia areata and treated successfully with 2 weeks of high dose steroids 2 years ago. One month ago he developed a band of complete hair loss more consistent with trichotillomania. The patient did admit to repeated self administered “pull tests” after the regrowth of hair following treatment with oral mini pulse steroids for 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:*	tricotillomania_1_050808	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA	*Category:*	factitial / self Induced disorders / psychodermatosis / hair disorders
	*Body Site:*	scalp / head	*Age:*	12 years
	*Contributor:*	Ben Hidalgo-Matlock, MD
	*Description:*	widespread patches of hair thinning
	*Comments:*	This 12-year-old girl developed widespread patches of decreased hair density which varied over 4 months. The hair findings were associated with probems in her family and subsequent emotional distress.
	*Related Images:*	tricotillomania_2_050808

© 2001-2010, DermAtlas	*Image Name:*	tricotillomania_1_050809	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA	*Category:*	factitial / self Induced disorders / psychodermatosis / hair disorders
	*Body Site:*	scalp / head hair	*Age:*	44 years
	*Contributor:*	Ben Hidalgo-Matlock, MD
	*Description:*	widespread patches of hair thinning
	*Comments:*	This 44-year-old schizophrenic man had an 8 year history of migrating patches of hair thinning most prominent on the back of the scalp

© 2001-2010, DermAtlas	*Image Name:*	tricotillomania_2_050808	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA	*Category:*	factitial / self Induced disorders / psychodermatosis / hair disorders
	*Body Site:*	scalp / head hair	*Age:*	12 years
	*Contributor:*	Ben Hidalgo-Matlock, MD
	*Description:*	widespread patches of hair thinning
	*Comments:*	This 12-year-old girl developed widespread patches of decreased hair density which varied over 4 months. The hair findings were associated with probems in her family and subsequent emotional distress.
	*Related Images:*	tricotillomania_1_050808

© 2001-2010, DermAtlas	*Image Name:*	Trichotillamania_1_050103	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA / ALOPECIA / TRAUMA	*Category:*	hair disorders / obscessive compulsive disorder / Iatrogenic disorders, child abuse,
	*Body Site:*	scalp	*Age:*	38 years
	*Contributor:*	Bethany Cook, BA
	*Description:*	well demarcated patch of hair thinning
	*Comments:*	This 38-year-old man developed a patch of hair thinning on the left parietal scalp. The skin was normal, and there were no completely bald patches. Residual hairs within the patch were of varying lengths.

© 2001-2010, DermAtlas	*Image Name:*	trichtillomania_1_030521	*File Type:*	jpg
	*Diagnosis:*	TRICHOTILLOMANIA / ALOPECIA	*Category:*	factitial / self Induced disorders / psychodermatosis
	*Body Site:*	scalp	*Age:*	19 years
	*Contributor:*	Samir Abbaro, MD
	*Description:*	diffuse thinning of hair
	*Comments:*	This 19-year-old man chronically picked and pulled at his hair.

© 2001-2010, DermAtlas	*Image Name:*	hairpulling_6_030217	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / TRICHOTILLOMANIA / ALOPECIA / ALOPECIA, TRAUMATIC, HAIR PULLING	*Category:*	hair disorders / Iatrogenic disorders, child abuse, / factitial / self Induced disorders / psychodermatosis / obscessive compulsive disorder
	*Body Site:*	scalp	*Age:*	16 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	well demarcated area of hair loss with hairs of varying lengths and stubble
	*Comments:*	A 16-year-old boy had a history of chronic migrating patches of hair loss for 6 months. The presence of stubble, crusts, and hairs of different lengths suggested a diagnosis of traumatic hair loss. One cm long hairs were noted on a 4 X 2 cm area in the patch after a 1 month application of an occlusive dressing.
	*Related Images:*	hairpulling_1_030217

© 2001-2010, DermAtlas	*Image Name:*	hairpulling_5_030217	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / TRICHOTILLOMANIA / ALOPECIA / ALOPECIA, TRAUMATIC, HAIR PULLING	*Category:*	hair disorders / Iatrogenic disorders, child abuse, / factitial / self Induced disorders / psychodermatosis / obscessive compulsive disorder
	*Body Site:*	scalp	*Age:*	14 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	irregularly shaped but well demarcated area of hair loss
	*Comments:*	This adolescent boy had a history of weirdly shaped areas of almost complete hair loss that changed from week to week as old areas regrow and new areas appeared at the border. The patterns of loss did not follow any anatomical landmarks.

© 2001-2010, DermAtlas	*Image Name:*	hairpulling_4_030217	*File Type:*	jpg
	*Diagnosis:*	HAIR PULLING / TRICHOTILLOMANIA / ALOPECIA / ALOPECIA, TRAUMATIC, HAIR PULLING	*Category:*	hair disorders / Iatrogenic disorders, child abuse, / factitial / self Induced disorders / psychodermatosis / obscessive compulsive disorder
	*Body Site:*	scalp	*Age:*	17 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	well demarcated patch of hair loss with scattered stubble
	*Comments:*	This 17-year-old boy developed patches of well demarcated hair loss that slowly migrated over the scalp for several years. Note the scattered stubble and hairs of varying length.