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Patterned Trichoteiromania in Androgenetic Alopecia
Luis E Sánchez-Dueñas1, Leslie E Rocha-Méndez2, Lidia Rudnicka3
1Hair Restoration Center, Dermika Dermatologic Laser Center, Guadalajara, Mexico.
Skin Appendage Disorders
|April 14, 2022
Summary
Trichotillomania, a self-inflicted hair disorder, can occur in patients with male androgenetic alopecia. Trichoscopic findings like broom hairs suggest this condition, even in non-psychiatric cases.
Area of Science:
- Dermatology
- Trichology
Background:
- Trichotillomania is a common cause of self-inflicted hair loss, often linked to psychiatric conditions.
- It encompasses conditions like trichoteiromania, trichotemnomania, and trichocryptomania (trichorrexomania).
Observation:
- Three cases of male androgenetic alopecia with patterned miniaturization were observed.
- These patients presented with concurrent trichoscopic evidence of trichoteiromania.
Findings:
- Brush-like or broom hairs are a key trichoscopic indicator of trichoteiromania.
- This specific association between male androgenetic alopecia and trichoteiromania has not been previously documented.
Implications:
- Self-induced hair loss should be considered in all alopecia evaluations.
- Recognizing trichoteiromania in androgenetic alopecia cases is crucial for comprehensive patient care.
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