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Hair loss from trichotillomania

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.

Greasy hair

Greasy hair appears dirty, greasy, oily, shiny and often has an unpleasant odor.
Individuals who have greasy hair often also have other areas of the skin (nose, forehead, chin) that are quite greasy (called “seborrheic” skin).

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Dry hair

Both men and women of any age may have dry hair. This situation is endured not only as an aesthetic problem, but in time may represent a problem concerning hair health. Dry hair often appears weak, fragile and tends to become brittle and to break.
Dry hair often has split ends and other forms of damage to the shaft.

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Cabelos Finos

O volume dos fios varia de acordo com a pessoa. Por isso, existem pessoas que nascem com os cabelos mais finos, enquanto outras apresentam cabelos mais espessos desde o nascimento.

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Hair loss: manifestation, causes and prevention

A shedding of hair is considered physiologically normal when hair loss is limited to around one hundred hairs per day. During an individual’s life hair grows, falls out and regrows around twenty times. Each cycle, especially for females, may last up to six years and if hair loss is found within this time frame, it is considered absolutely physiological.

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Sebaceous glands

The sebaceous glands are glands that secrete sebum, an oily, acidic substance with a pH of 3.5. They are connected laterally to the hair follicle. Sebaceous glands are found with a density of approximately 100/cm2 throughout all areas of the skin. In the human body, they are located across the entire surface of the skin, except for the palms of the hands and the soles of the feet.

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Structure and chemical composition of hair

The hair on our bodies has a particular structure and is divided into thin and thick hair. Thin hair, also called lanugo or vellus, is located on all skin surfaces except for the palms of the hands and the soles of the feet. Thick hair, also called terminal hair, is dark and located only in some areas such as the scalp, the armpits, the pubic area, the beard area in the case of men, etc…

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