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Trichoteiromania.

P Freyschmidt-Paul1, R Hoffmann, R Happle

  • 1Department of Dermatology, Philipp University, Deutschhausstrasse 9, 35033 Marburg, Germany. freyschm@mailer.uni-marburg.de

European Journal of Dermatology : EJD
|June 16, 2001
PubMed
Summary
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A psychiatric disorder caused a patient to compulsively rub her hair, leading to hair shaft fractures and apparent bald spots. This self-inflicted hair loss is proposed to be named trichoteiromania.

Area of Science:

  • Dermatology
  • Psychiatry
  • Trichology

Background:

  • Describes a case study of a 61-year-old patient with a psychiatric disorder.
  • The patient exhibited compulsive hair rubbing behavior affecting the scalp.

Observation:

  • Observed significant hair shaft fracturing due to constant rubbing.
  • Resulted in hair lengths of approximately 2 cm and bald patches with 1mm stubs.
  • Distal hair shafts appeared split, resembling white tips.

Findings:

  • Light microscopy revealed split, brush-like ends on otherwise normal hair shafts.
  • The physical findings are consistent with mechanical trauma to the hair.
  • A new term, trichoteiromania, is proposed for this condition.

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Implications:

  • Suggests trichoteiromania as a novel term for hair loss caused by compulsive rubbing.
  • Highlights the link between psychiatric conditions and physical manifestations like hair damage.
  • Emphasizes the importance of considering behavioral causes in hair loss diagnosis.