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[Tonsural trichotillomania]

A Davis-Daneshfar1, R M Trüeb

  • 1Dermatologische Klinik, Universitätsspital, Zürich.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|November 1, 1995
PubMed
Summary

Tonsure trichotillomania, a scalp hair-pulling disorder, affects adolescent females with severe psychodynamics. Prognosis is guarded as hair plucking often persists for years.

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Area of Science:

  • Dermatology
  • Psychiatry
  • Trichology

Background:

  • Trichotillomania is a hair-pulling disorder.
  • Tonsure trichotillomania is a specific subtype characterized by a distinct alopecia pattern.

Observation:

  • This subtype predominantly affects adolescent females.
  • It is associated with severe psychodynamic disturbances, including issues with female sexuality.
  • The hair loss pattern involves the crown, frontal margin, and spares the sides and nape.

Findings:

  • Presents two cases of tonsure alopecia.
  • One case involved concurrent pubic hair trichotillomania.
  • The other case was associated with enuresis.

Implications:

  • The prognosis for tonsure trichotillomania requires a guarded approach.
  • Hair plucking behavior can be long-lasting, spanning years.
  • Understanding the psychodynamics is crucial for managing this condition.