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    Mindfulness-Based Cognitive Hypnotherapy and Skin Disorders.
    Am J Clin Hypn 2018 Jul;61(1):34-44
    a University of South Florida , Tampa , FL, USA.
    Mindfulness-based cognitive hypnotherapy integrates mindfulness, cognitive-behavioral therapy, and hypnotherapy to improve physical, emotional, mental, and/or spiritual aspects of skin disorders. Meditation, including mindfulness meditation, and hypnosis both utilize trance phenomena to help produce focalization and specific improvements in skin disorders through psycho-neuro-endocrine-immunologic mechanisms. Hypnosis, cognitive hypnotherapy, focused meditation, and mindfulness meditation are discussed with respect to improving various skin disorders including acne, acne excoriée, alopecia areata, atopic dermatitis, congenital ichthyosiform erythroderma, dyshidrotic dermatitis, erythema nodosum, erythromelalgia, furuncles, glossodynia, herpes simplex, hyperhidrosis, ichthyosis vulgaris, lichen planus, neurodermatitis, nummular dermatitis, postherpetic neuralgia, prurigo nodularis, pruritus, psoriasis, rosacea, trichotillomania, urticaria, verruca vulgaris, and vitiligo. Read More

    Trichotillomania Ranging from "Ritual to Illness" and as a Rare Clinical Manifestation of Frontotemporal Dementia: Review of Literature and Case Report.
    Int J Trichology 2018 Mar-Apr;10(2):84-88
    Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
    Frontotemporal dementia (FTD) is the most common form of dementia in the younger age group and often exists with comorbid obsessions and compulsions in up to 80% of the patients. Trichotillomania or compulsive "hair-pulling" disorder is a rare manifestation of FTD and is a poorly evaluated symptom in this condition. The release of "grooming functions" due to frontal disinhibition is often attributed to the evolutionary perspective; however, recent findings also implicate the role of neurotransmitter dysfunction. Read More

    Salivary sex hormones in adolescent females with trichotillomania.
    Psychiatry Res 2018 May 5;265:221-223. Epub 2018 May 5.
    Department of Psychiatry, University of Cambridge, UK; Cambridge and Peterborough NHS Foundation Trust, UK.
    Trichotillomania is several times more common in women and has peak onset around puberty. The role of sex hormones, however, has received little research. 11 adolescent girls with trichotillomania, post-menarche and not taking birth control, were examined on a variety of clinical measures. Read More

    Inducible nitric oxide synthase (NOS2) knockout mice as a model of trichotillomania.
    PeerJ 2018 17;6:e4635. Epub 2018 Apr 17.
    Department of Pharmacology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
    Background: Trichotillomania (TTM) is an impulse control disorder characterized by repetitive hair pulling/trimming. Barbering behavior (BB) observed in laboratory animals is proposed as a model of TTM. The neurobiological basis of TTM is unclear, but involves striatal hyperactivity and hypoactivation of the prefrontal cortex. Read More

    Habit reversal training for body-focused repetitive behaviors: a practical guide for the dermatologist.
    G Ital Dermatol Venereol 2018 Aug 18;153(4):557-566. Epub 2018 Apr 18.
    Department of Dermatology, Dell Medical School, University of Texas at Austin, Austin, TX, USA.
    Habit reversal training (HRT) is a clinically effective treatment for body-focused repetitive disorders (BFRDs) such as trichotillomania, onychophagia, and dermatillomania. Despite many dermatology providers knowing the term HRT, very few understand what HRT is and how it actually works. In this article, we give a detailed explanation of HRT and walk the reader through a six-session HRT protocol. Read More

    Rapunzel syndrome with double simultaneous trichobezoar in a teenager: Clinical Case Report.
    Rev Chil Pediatr 2018 Feb;89(1):98-102
    Escuela de Medicina, Universidad Marista de Mérida, Mexico.
    Resumen: Introduction: Trichobezoars are an intraluminal accumulation of ingested hair. The Rapunzel syndrome refers to the presence of gastric trichobezoars which extend to the small intestine together with trichotillomania and trichophagia, that occur predominantly in psychiatric patients of pediatric age.

    Objective: To analyze the clinical course and resolution of this syndrome in a case report. Read More

    Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department.
    BMC Pediatr 2018 Apr 4;18(1):125. Epub 2018 Apr 4.
    Department of Pediatrics and Neonatology, Guglielmo da Saliceto Hospital, Cantone del Cristo 50, Piacenza, Italy.
    Background: Iron deficiency anemia (IDA) and abdominal pain are commonly seen in a pediatric emergency department (8 and 18% incidence respectively in our center). They are manifestations of a wide variety of diseases ranging from benign to immediately life-threatening. Trichobezoar is an under-diagnosed entity that has to be considered in children and adolescents, expecially female, suffering from trichotillomania (compulsion to pull hair) and trichophagy (compulsion to swallow hair). Read More

    Awareness Enhancing and Monitoring Device plus Habit Reversal in the Treatment of Trichotillomania: An Open Feasibility Trial.
    J Obsessive Compuls Relat Disord 2018 Jan 31;16:14-20. Epub 2017 Oct 31.
    University of Michigan, Department of Psychiatry.
    Habit Reversal Therapy (HRT) is helpful for many persons suffering from trichotillomania. However successful habit reversal therapy requires awareness of hair pulling behaviors. Available methods to monitor hair pulling behaviors are less than ideal, particularly when sufferers are unaware of their pulling-related behaviors. Read More

    Recurrent Rapunzel syndrome - A rare tale of a hairy tail.
    Int J Surg Case Rep 2018 21;45:83-86. Epub 2018 Mar 21.
    Department of General Surgery, Vijayanagar Institute of Medical Sciences, Ballari, Karnataka, 583104, India.
    Introduction: Rapunzel syndrome is a rare condition predominantly found in trichophagic females that occurs when gastric trichobezoar extends beyond the pylorus and into duodenum, jejunum, ileum or even to colon. There are only five cases reported in literature. This case report has been reported in line with the SCARE criteria. Read More

    Trichoscopy of alopecia areata: An update.
    J Dermatol 2018 Mar 22. Epub 2018 Mar 22.
    Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.
    The diagnosis of alopecia areata is usually based on clinical manifestations. However, there are several hair and scalp disorders that share similar clinical features with alopecia areata, such as tinea capitis, trichotillomania or traction alopecia. Trichoscopy as a fast, non-invasive and easy-to-perform technique may help to identify subtle details and establish the correct diagnosis. Read More

    Clinical Characteristics and Comorbidity of Pediatric Trichotillomania: the Study of 38 Cases in Croatia.
    Psychiatr Danub 2018 Mar;30(1):79-84
    University Department of Paediatrics, Department of Child, and Adolescent Psychiatry, Children's Hospital Zagreb, Klaićeva 16, 10000 Zagreb, Croatia,
    Background: The main goal of this study was to analyse and show clinical characteristics and psychiatric comorbidity in 38 participants aged between 10 and 17 with DSM-IV diagnoses of Trichotillomania (TTM) that we were treating at Children's Hospital Zagreb from 2008 to 2017.

    Subjects And Methods: We analyzed the data obtained from semi-structured interviews by the criteria of DSM-IV, Youth Self Report (YSR) (Achenbach & Rescorla 2001) and survey that we created.

    Results: From 38 participants 21 were girls. Read More

    [Trichotillomania involving the eyelashes: about a case].
    Pan Afr Med J 2017 14;28:142. Epub 2017 Oct 14.
    Service d'Ophtalmologie, CHU Hassan II, Fès, Maroc.
    Trichotillomania is a neglected psychiatric disorder characterized by the urge to pull out the hair, the eyebrows or any other hair, but rarely the eyelashes. In the Diagnostic and Statistical Manual of Mental Disorders it is defined as habits and pulses disturbance. We here report the case of a girl with trichotillomania involving her left eyelashes due to low self-esteem. Read More

    Striatal abnormalities in trichotillomania: a multi-site MRI analysis.
    Neuroimage Clin 2018 22;17:893-898. Epub 2017 Dec 22.
    Department of Psychiatry, University of Cambridge, UK.
    Trichotillomania (hair-pulling disorder) is characterized by the repetitive pulling out of one's own hair, and is classified as an Obsessive-Compulsive Related Disorder. Abnormalities of the ventral and dorsal striatum have been implicated in disease models of trichotillomania, based on translational research, but direct evidence is lacking. The aim of this study was to elucidate subcortical morphometric abnormalities, including localized curvature changes, in trichotillomania. Read More

    Remote treatment of sleep-related trichotillomania and trichophagia.
    J Appl Behav Anal 2018 Apr 21;51(2):255-262. Epub 2018 Feb 21.
    University of Nebraska Medical Center's Munroe-Meyer Institute.
    We used a biobehavioral treatment consisting of melatonin and a standardized bed and wake time to decrease one girl's head and mouth touches associated with sleep-related trichotillomania and trichophagia. We remotely coached the girl's caregiver to implement all procedures and monitored response to treatment using a DropCam Pro video camera equipped with night-vision capabilities. Head and mouth touches decreased, and her sleep pattern improved with the combination of treatment strategies. Read More

    The Dermoscopic "Pluck Out Sign" for Beard Trichotillomania.
    Skin Appendage Disord 2018 Jan 24;4(1):15-17. Epub 2017 Jun 24.
    Universitat Internacional de Catalunya, Barcelona, Spain.
    Beard trichotillomania (TTM) is a rather uncommon entity. Hair is not easily plucked from the beard area, as patients need forceps or tweezers to perform their task. The diagnosis of beard TTM can be quite tricky as the location is not the most frequent one. Read More

    Gastric ulceration and perforation secondary to large trichobezoar - A case report describing the role of magnetic resonance imaging in diagnosis.
    Int J Surg Case Rep 2018 10;43:25-28. Epub 2018 Feb 10.
    Department of Surgery, Mercy University Hospital, Cork, Ireland. Electronic address:
    Introduction: Trichotillomania and trichotillophagia can result in huge intraluminal coagulations of hair. Rarely, these can present with gastric perforation. This work has been reported in line with the SCARE criteria (Agha et al. Read More

    Computerized response inhibition training for children with trichotillomania.
    Psychiatry Res 2018 Apr 5;262:20-27. Epub 2018 Jan 5.
    Department of Psychology, Marquette University, Milwaukee, WI, USA.
    Evidence suggests that trichotillomania is characterized by impairment in response inhibition, which is the ability to suppress pre-potent/dominant but inappropriate responses. This study sought to test the feasibility of computerized response inhibition training for children with trichotillomania. Twenty-two children were randomized to the 8-session response inhibition training (RIT; n = 12) or a waitlisted control (WLT; n = 10). Read More

    Abnormal perceptual sensitivity in body-focused repetitive behaviors.
    Compr Psychiatry 2018 Apr 27;82:45-52. Epub 2017 Dec 27.
    Department of Psychology, Texas A&M University, 4235 TAMU, College Station, TX 77843-4235, United States; Department of Psychology, Marquette University, P.O. Box 1881, Milwaukee, WI 53201-0327, United States. Electronic address:
    Objective: Several compulsive grooming habits such as hair pulling, skin picking, and nail biting are collectively known as body-focused repetitive behaviors (BFRBs). Although subclinical BFRBs are common and benign, more severe and damaging manifestations exist that are difficult to manage. Researchers have suggested that BFRBs are maintained by various cognitive, affective, and sensory contingencies. Read More

    Use of N-Acetylcysteine in Psychiatric Conditions among Children and Adolescents: A Scoping Review.
    Cureus 2017 Nov 29;9(11):e1888. Epub 2017 Nov 29.
    Department of Psychiatry, Sidra Medical and Research Center; Weill Cornell Medical College, Cornell University.
    N-acetylcysteine (NAC) is a well-known antidote for acetaminophen toxicity and is easily available over the counter. It has antioxidant and anti-inflammatory properties and an established tolerance and safety profile. Owing to its neuroprotective effects, its clinical use has recently expanded to include the treatment of different psychiatric and non-psychiatric disorders. Read More

    Types of avoidance in hair-pulling disorder (trichotillomania): An exploratory and confirmatory analysis.
    Psychiatry Res 2018 Mar 29;261:154-160. Epub 2017 Dec 29.
    Centre for Mental Health, Swinburne University of Technology, Melbourne, Australia; Monash Alfred Psychiatry Research Centre, Melbourne, Australia; Monash Alfred Psychiatry Research Centre, The Alfred Hospital and Monash University Central Clinical School, Melbourne, VIC, Australia.
    Hair-pulling disorder (HPD) or Trichotillomania is a complex disorder with frequent relapses. Avoidance has been highlighted as an important behavioural feature in HPD. To improve our understanding of avoidance, two studies were conducted to identify the types of avoidance that may be experienced by those who pull hair. Read More

    "i hair": A prognostic marker in alopecia areata & trichotillomania.
    Indian J Dermatol 2017 Nov-Dec;62(6):658-660
    Department of Dermatology, Rita Skin Foundation, Kolkata, West Bengal, India.
    Trichoscopy as an investigative tool is revolutionizing the diagnosis of hair disorders. The use of a trichoscope has unveiled a plethora of signs which not only helps in decoding the underlying tricoscopic condition but also acts as prognostic markers. Herein, we present a new trichoscopic sign, "i hair" in alopecia areata and trichotillomania. Read More

    Rapunzel Syndrome.
    J Clin Diagn Res 2017 Sep 1;11(9):TD01-TD02. Epub 2017 Sep 1.
    Senior Resident, Department of Radiology, Shri Sathya Sai Medical College and Research Insitute, Chennai, Tamil Nadu, India.
    A bezoar refers to a mass of undigestible foreign material found in the gastrointestinal tract, mainly stomach. The second most common bezoar is the trichobezoar, which usually occurs in the young psychiatric female patients with history of trichotillomania and trichophagia. This is a case report of a 12 -year-old female patient came with complaints of diffuse abdominal pain, vomiting, and constipation. Read More

    Sensory over-responsivity in trichotillomania (hair-pulling disorder).
    Psychiatry Res 2017 Nov 16;260:207-218. Epub 2017 Nov 16.
    Department of Psychology, American University, Washington, DC, USA.
    Objective: This study was an initial investigation of sensory-over responsivity (SOR) to external sensations among individuals with trichotillomania (TTM).

    Methods: Adults endorsing DSM-5 TTM criteria (N = 609) and a non-affected comparison sample (N = 268) completed a self-report survey.

    Results: The majority of the TTM group endorsed SOR symptoms; three-quarters endorsed at least mild tactile and auditory SOR. Read More

    Giant gastric trichobezoar in a young female with Rapunzel syndrome: case report.
    Pan Afr Med J 2017 4;27:252. Epub 2017 Aug 4.
    Department of Gastroenterology B, Hôpital Ibn-Sina, Rabat, Faculté de Médecine et de Pharmacie Rabat, Mohammed V University Souissi, Rabat, Morocco.
    Rapunzel syndrome is an extremely rare complication of a gastric trichobezoar in. We report here the unusual case of a case of a 16 years old girl presented with severe abdominal pain and vomiting. Clinical examination revealed a malnourished girl, with presence of a mobile and sensitive abdominal mass of 20x15 cm witch filled the upper quadrant. Read More

    Prevalence and predictors of hair pulling disorder and excoriation disorder in Tourette syndrome.
    Eur Child Adolesc Psychiatry 2018 May 2;27(5):569-579. Epub 2017 Nov 2.
    Psychiatric and Neurodevelopmental Genetics Unit, Department of Psychiatry, Center for Genomic Medicine, Massachusetts General Hospital, 185 Cambridge Street, CPZN-6254, Boston, MA, 02114, USA.
    Trichotillomania/hair pulling disorder (HPD) and excoriation/skin picking disorder (SPD) are childhood-onset, body-focused repetitive behaviors that are thought to share genetic susceptibility and underlying pathophysiology with obsessive-compulsive disorder (OCD) and Tourette syndrome (TS). We sought to determine the prevalence of DSM-5 HPD and SPD in TS patients, and to identify clinical factors most associated with their co-morbidity with TS. Participants included 811 TS patients recruited from TS specialty clinics for a multi-center genetic study. Read More

    Syphilitic alopecia: uncommon trichoscopic findings.
    Dermatol Pract Concept 2017 Jul 31;7(3):55-59. Epub 2017 Jul 31.
    Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy.
    Syphilitic alopecia (SA) is considered an uncommon manifestation of secondary syphilis. SA can present in a diffuse form, resembling telogen effluvium, or in a moth-eaten form that mimics a variety of conditions (i.e. Read More

    Review of epidemiology, clinical presentation, diagnosis, and treatment of common primary psychiatric causes of cutaneous disease.
    J Dermatolog Treat 2017 Nov 5:1-10. Epub 2017 Nov 5.
    c Psychiatry and Neurology Department , Florida Atlantic University Charles E. Schmidt College of Medicine , Boca Raton , FL , USA.
    Approximately half of all patients presenting to dermatologists exhibit signs and symptoms of psychiatric conditions that are either primary or secondary to cutaneous disease. Because patients typically resist psychiatric consult, dermatologists often are on the front line in evaluating and treating these patients. Accordingly, distinguishing the specific underlying or resulting psychiatric condition is essential for effective treatment. Read More

    Endoscopic shaving of hair in a gastric bypass patient with a large bezoar.
    BMJ Case Rep 2017 Oct 9;2017. Epub 2017 Oct 9.
    Department of Gastroenterology, Island Gastroenterology Consultants, West Islip, New York, USA.
    Trichotillomania can be associated with the formation of trichobezoars (hair ball) usually located in the stomach. Trichobezoars may lead to complications including bowel obstruction, and perforation. Patients with a history of diabetes, certain psychiatric disorders, prior gastric surgery and poor mastication ability are at an increased risk of developing bezoars. Read More

    Clarifying the Relationship between Trichotillomania and Anxiety.
    J Obsessive Compuls Relat Disord 2017 Apr 4;13:30-34. Epub 2017 Mar 4.
    Department of Psychology, Marquette University, Cramer Hall, 317, 604 N. 16th St., Milwaukee, WI, 53233, USA.
    Although research has consistently linked unidimensional anxiety with Trichotillomania (TTM) severity, the relationships between TTM severity and anxiety dimensions (i.e., cognitive and somatic anxiety) are unknown. Read More

    Trichotillomania: a good response to treatment with N-acetylcysteine.
    An Bras Dermatol 2017 Jul-Aug;92(4):537-539
    Trichology Outpatient Clinic, Department of Cosmetology, Universidade Federal de São Paulo (Unifesp) - São Paulo (SP), Brazil.
    Trichotillomania is considered a behavioral disorder and is characterized by the recurring habit of pulling one's hair, resulting in secondary alopecia. It affects 1% of the adult population, and 2 to 4.4% of psychiatric patients meet the diagnostic criteria. Read More

    Corticostriatal circuit defects in Hoxb8 mutant mice.
    Mol Psychiatry 2017 Sep 26. Epub 2017 Sep 26.
    Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, UT, USA.
    Hoxb8 mutant mice exhibit compulsive grooming and hair removal dysfunction similar to humans with the obsessive-compulsive disorder (OCD)-spectrum disorder, trichotillomania. As, in the mouse brain, the only detectable cells that label with Hoxb8 cell lineage appear to be microglia, we suggested that defective microglia cause the neuropsychiatric disorder. Does the Hoxb8 mutation in microglia lead to neural circuit dysfunctions? We demonstrate that Hoxb8 mutants contain corticostriatal circuit defects. Read More

    Hair Loss: Common Causes and Treatment.
    Am Fam Physician 2017 Sep;96(6):371-378
    Washington Health Systems Family Medicine Residency, Washington, PA, USA.
    Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Read More

    Trichobezoar with and without Rapunzel syndrome in paediatric population: A case series from a tertiary care centre of Northern India.
    Int J Surg Case Rep 2017 8;40:23-26. Epub 2017 Sep 8.
    Deptt. of Pediatrics, PGIMS, Rohtak, Haryana, India. Electronic address:
    Introduction: Trichobezoars are concretions formed by accumulation of hair in stomach. Usually, trichobezoar is confined to the stomach, but rarely it may extend from the stomach to the small intestine and even colon. This is an unusual form called Rapunzel syndrome. Read More

    A Preliminary Investigation of Metacognitive Therapy and Habit Reversal as a Treatment for Trichotillomania.
    Behav Cogn Psychother 2018 Jan 14;46(1):1-20. Epub 2017 Sep 14.
    Hakim Sabzevari University,Sabzevar,Iran.
    Background: Not all patients suffering from trichotillomania (TTM) recover completely using CBT and of those that do, only a few maintain their recovery over time.

    Aims: The purpose of the present study was to investigate the effectiveness of metacognitive methods combined with habit reversal (MCT/HRT) in trichotillomania with a relatively long-term follow-up.

    Method: A case series (n = 8) and a randomized wait-list controlled trial (n = 34) design were conducted in this study. Read More

    Pathological grooming: Evidence for a single factor behind trichotillomania, skin picking and nail biting.
    PLoS One 2017 13;12(9):e0183806. Epub 2017 Sep 13.
    Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.
    Although trichotillomania (TTM), skin picking (SP), and nail biting (NB) have been receiving growing scientific attention, the question as to whether these disorders can be regarded as separate entities or they are different manifestations of the same underlying tendency is unclear. Data were collected online in a community survey, yielding a sample of 2705 participants (66% women, mean age: 29.1, SD: 8. Read More

    Naltrexone in the Treatment of Broadly Defined Behavioral Addictions: A Review and Meta-Analysis of Randomized Controlled Trials.
    Eur Addict Res 2017 7;23(4):204-210. Epub 2017 Sep 7.
    Unité de Psychiatrie d'Urgence, de Liaison et de Recherche, Pôle 93G04, EPS Ville Evrard, Saint Denis, France.
    Introduction: Broadly defined behavioral addiction is a conceptual framework including behaviors characterized by loss of control and continuation despite significant negative consequences. Broadly defined behavioral addictions share many similarities with substance use disorders. As naltrexone is one of the most studied treatment for substance use disorders, we conducted a meta-analysis of randomized placebo-controlled trials (RCT) assessing the effectiveness of naltrexone in the treatment of broadly defined behavioral addictions. Read More

    S Afr J Surg 2017 Sep;55(3):68
    University of Cape Town, and Groote Schuur Hospital.
    Background: Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation with extension down through into the small intestine. Most frequently reported in children and psychiatric patients, we report on an African series of five patients. Read More

    Gastric Trichobezoars in Children: Surgical Overview.
    Int J Trichology 2017 Apr-Jun;9(2):50-53
    Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
    Background: Development of trichobezoars in children is primarily a psychiatric issue more than a pediatric surgical ailment. A definite history of trichotillomania and trichophagia may or may not be elicited. Surgical removal is required in patients presenting with huge bezoars. Read More

    Systematic Review of Published Primary Studies of Neuropsychology and Neuroimaging in Trichotillomania.
    J Int Neuropsychol Soc 2018 Feb 24;24(2):188-205. Epub 2017 Aug 24.
    1Department of Psychology and Centre for Mental Health,Swinburne University of Technology,Hawthorn,Victoria,Australia.
    Objectives: Existing models of trichotillomania (TTM; hair pulling disorder) rely heavily on a biological predisposition or biological pathogenesis of the disorder, but fail to capture the specific neuropsychological mechanisms involved. The present systematic review aims to scope existing neuropsychological studies of TTM to explore gaps in current models.

    Methods: A systematic literature search was conducted to detect all published primary studies using neuropsychological and neuroimaging measures in a cohort of individuals experiencing TTM. Read More

    A Practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents.
    Front Med (Lausanne) 2017 24;4:112. Epub 2017 Jul 24.
    Department of Dermatology, Massachusetts General Hospital, Boston, MA, United States.
    Hair loss or alopecia is a common and distressing clinical complaint in the primary care setting and can arise from heterogeneous etiologies. In the pediatric population, hair loss often presents with patterns that are different from that of their adult counterparts. Given the psychosocial complications that may arise from pediatric alopecia, prompt diagnosis and management is particularly important. Read More

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