Hair Pulling, Alopecia, Traumatic, Hair Pulling, Alopecia Areata, Alopecia - DermAtlas

Contributor

Katherine Puttgen, MD

Diagnosis

hair pulling alopecia, traumatic, hair pulling alopecia areata alopecia

Body Site

scalp

Age

15 months

Pigmentation

light

Organization

geographic

Color

skin color

Morphology

macular / flat (macule / patch)

Pattern

geographic localized

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.

Description

diffuse right sided non-scarring alopecia with hairs of differing lengths

Image Added

1/9/2008 22:33:00

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Other Resources

PubMed Medline Plus Medscape

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