Scientific Area

Hair loss from trichotillomania

CATEGORIES SCIENTIFIC AREA

Scientific collaboration between Professor Marco Toscani and Dr. Pasquale Fino, Chair of Plastic, Reconstructive and Aesthetic Surgery, Umberto I Health Center – “Sapienza” University of Rome.

Trichotillomania alopecia: meaning and psychological causes

Trichotillomania is a type of hair loss due to voluntary pulling by the patient which often ends up breaking the hair shaft. In general, the patient twists the hair around a finger.
The gesture is occasional when going to sleep or concentrating on a task, but may become repetitive or obsessive.
It can lead to one or more areas of hair loss, usually in an irregular and bizarre shape. In these patches, the hair appears broken into different lengths, features a normal color and structure and does not detach easily. The most commonly affected areas are the frontoparietal regions of the side corresponding to the dominant cerebral hemisphere.

The condition mostly arises during infancy (men) and adolescence (women). At these ages the phenomenon is an expression of distress, a way to call for attention from the parent. While, if present in an adult, the psychological problem is more serious. Psychiatric disorders such as anxiety, depression, obsessive compulsive disorder and psychosis are to be considered.

Split ends

The phenomenon of split ends, also called trichoptilosis, is a hair problem that depends on an alteration of the hair shaft with concurrent modification and deterioration of the structure, form and physiology of the hair.

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Seborrheic alopecia (seborrheic hair loss)

Seborrheic hair loss is a form of premature hair loss that generally afflicts men in their youth (onset between 20 and 30 years of age), mainly affecting the frontal region and the crown. The cause, as the name of the condition suggests, is related to an excess production of sebum that provokes or accelerates hair loss.

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Scalp itchiness

Scalp itchiness of varying intensity is a sensation perceived by many people of both sexes.
Itchiness is a scalp problem that leads those afflicted to scratch their skin and is often associated with pain. Many causes of this illness are recognized, which shouldn’t be underestimated as it may cause hair loss or thinning.

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Scalp psoriasis

La psoriasi è una frequente dermatosi cronica eritemo-squamosa con squama tipica (psoriasica), circoscritta o diffusa.
La psoriasi è un problema del cuoio capelluto non annoverata tra le cause che comportano la caduta dei capelli.

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Cuneiform hair or dwarf hair

This is very short hair, between 1 cm and a maximum of 2 cm in length, which usually has insufficient pigmentation. This hair has a base structure that is quite large, almost like normal hair. It then tends to get smaller towards the end, thus taking on the form of a very pointed cone.
This hair has a strong tendency to fall out.

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