Trichotillomania is the loss or damage of scalp hair through repeated pulling or twisting due to irresistible obsessive-compulsive impulses. It is more common among children than adults. The clinical feature of trichotillomania is plucked or broken hair in patches from the side of the scalp favoring the dominant hand. If hair grows back, but continues to be pulled out over many years, one can damage their follicles and get permanent hair loss. Trichotillomania can also be present on eyelashes and eyebrows, but this is less common.
Trichotillomania can be an extremely emotionally distressing and upsetting condition and it is best to consult a doctor and/or trichologist for help.
To diagnose trichotillomania, the best option is to visit the Wimpole Clinic and get a physical examination in order to look at the underlying skin and patterns. Because there can be so many factors that can be involved in trichotillomania, we act as detectives to understand the real causes. Knowing if the hair fell suddenly or gradually can help our search. Other information such as allergies or specific diets are clues we can use to provide you with an accurate diagnosis.
Sometimes, the evidence lies in your scalp and may require doing a scalp biopsy, which can be essential to solving the case. Sometimes, a blood test is also necessary. Contact us for a consultation and we will help you find out if you have trichotillomania.
As trichotillomania can have an emotional impact, seeking a treatment can help you psychologically and physiologically. If trichotillomania is due to an infection, or another condition, treating the underlying problem may help prevent further hair loss. For general male pattern baldness there are two medicines that can be used: p and minoxidil.
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