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- $Unique_ID{BRK01192}
- $Pretitle{}
- $Title{Bald Spots From Hair Pulling Habit}
- $Subject{hair pulling compulsion skin subcutaneous tissue bald spots
- trichotillomania alopecia plucking loss scalp telogen follicles social pull
- compulsive balding pluck}
- $Volume{L-20,Q-20}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Bald Spots From Hair Pulling Habit
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- QUESTION: Since about age 15 I have had a habit of pulling my hair out one
- strand at a time. I am now 26 and have several bald spots and am getting
- rather embarrassed. A friend told me that read that there is a name for this
- habit but she couldn't remember it and I am wondering if there is a
- prescription medicine that can help me?
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- ANSWER: There is indeed a name for this disturbing habit and it is not an
- easy one to remember. However, if you take the word "trichotillomania" apart,
- it begins to make sense. The Greek word for hair is "trichos", another Greek
- word "tillein" means "to pull", and "mania" translates into "madness". The
- term trichotillomania is applied to a type of alopecia or baldness, that
- results when a person keeps pulling, tugging or plucking at the hair. The
- pattern of the hair loss can be pretty bizarre, and an attempt at concealing
- the loss may be made by rather unusual hair style. The disorder is seen most
- frequently in children and elderly women, but may carry over from childhood in
- to the adult years as in your case. The diagnosis is clear when the history
- reveals the habit, but in cases that are less evident, the diagnosis can be
- made by examining the hairs which show evidence of being broken, or by biopsy
- of the scalp which may reveal increased numbers of resting (telogen) hair
- follicles. I know of no prescription medication that can directly affect the
- problem, which requires psychological counseling and treatment. However,
- prescription medication may be used as an aid during the course of the
- counseling sessions. Depending upon the amount of loss and the location of
- the bald spots, the regrowth of new hair that takes place after the hair
- pulling has stopped can cover the denuded areas in a relatively short period
- of time. And then your days of embarrassment will be over.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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