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In Vivo Confocal Microscopy: A Standard Operating Procedure for the Detection of Demodex Mites at the Eyelid Margin
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Eyelash loss.

David R Jordan1

  • 1University of Ottawa Eye Institute Ottawa, Ontario, Canada.

Seminars in Plastic Surgery
|June 23, 2010
PubMed
Summary
This summary is machine-generated.

Eyelash loss can stem from various conditions. This study highlights trichotillomania and hypothyroidism as key causes, emphasizing diagnostic workup for spontaneous lash loss.

Keywords:
Lash lossallopeciamadarosismilphosistrichotillomania

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Area of Science:

  • Dermatology
  • Endocrinology

Background:

  • Eyelash loss (madarosis) is a multifactorial condition.
  • It can be associated with skin diseases, drug side effects, endocrine disorders, metabolic abnormalities, trauma, inflammation, toxins, psychiatric disorders, and systemic diseases.
  • When initial assessments are inconclusive, self-inflicted hair pulling (trichotillomania) should be considered.

Purpose of the Study:

  • To describe three cases of spontaneous eyelash loss.
  • To illustrate the clinical presentation and diagnostic workup for eyelash loss.
  • To highlight the differential diagnoses including trichotillomania and hypothyroidism.

Main Methods:

  • Case report analysis.
  • Review of clinical history, physical examinations, and laboratory findings.
  • Diagnostic workup for spontaneous eyelash loss.

Main Results:

  • Case 1: Eyelash loss secondary to trichotillomania.
  • Case 2: Eyelash loss due to hypothyroidism.
  • Case 3: Eyelash loss with features of both hypothyroidism and trichotillomania.

Conclusions:

  • Spontaneous eyelash loss necessitates a thorough diagnostic evaluation.
  • Hypothyroidism and trichotillomania are important considerations in the differential diagnosis.
  • Integrated assessment aids in accurate diagnosis and management of eyelash loss.