2013
DOI: 10.4103/0974-7753.130400
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Extensive tonsure pattern trichotillomania-trichoscopy and histopathology aid to the diagnosis

Abstract: Trichotillomania manifests as a compulsive desire to pull out own hair. The clinical presentation of trichotillomania is usually characteristic, with varying length hair distributed within areas of alopecia on otherwise normal scalp. In severe forms, tonsure pattern of baldness results, involving the entire scalp sparing the hair at the margins. Extensive tonsure pattern trichotillomania is rare and difficult to differentiate from other nonscarring alopecias on clinical grounds alone. Trichoscopy and histopath… Show more

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Cited by 11 publications
(16 citation statements)
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References 7 publications
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“…Recently, Tulip hair (Fig. 16), flame hair, v-sign and hair powder were observed as well in some cases [11,14,20].…”
Section: Trichoscopic Findingsmentioning
confidence: 84%
See 1 more Smart Citation
“…Recently, Tulip hair (Fig. 16), flame hair, v-sign and hair powder were observed as well in some cases [11,14,20].…”
Section: Trichoscopic Findingsmentioning
confidence: 84%
“…In active AA patients, the hallmark trichoscopic specific features were yellow dots, uniform cadaverized (black dots), dystrophic broken hair (micro-exclamation, tapered hairs which is a marker of active disease), trichoptilosis, pig tail, and short vellus hairs and upright re-growing hair [12][13][14] ( Figs. 8-11).…”
Section: Trichoscopic Findingsmentioning
confidence: 99%
“…1a). 1 Trichoscopy showed fractured hairs (black dots), coiled hairs and follicular hemorrhage with coexistence of normal and short terminal hairs on a background of CA with diminished follicular orifices ( Fig. 1b-d).…”
Section: Extensive Cicatricial Alopecia In a Patient With Long-term Tmentioning
confidence: 98%
“…Dear Editor, An association of alopecia areata (AA) with other major forms of autoimmune diseases has been documented. [1][2][3][4][5] However, most of these studies are restricted by a small sample size, patient self-reported data or cross-sectional design. This study aimed to analyze the longitudinal risk of developing major autoimmune diseases, including rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), ankylosing spondylitis (AS), Hashimoto's thyroiditis, bullous pemphigoid, psoriasis and type 1 diabetes mellitus (DM) for patients with AA, using a retrospective cohort design.…”
Section: Follow-up Study On the Relationship Between Alopecia Areata mentioning
confidence: 99%
“…Active (acute) AA can be distinguished from nonactive AA using trichoscopy. Features of disease activity include black dots, exclamation marks, broken hairs, trichoptilosis, pig tail, short vellus hairs,and upright regrowing hair whereas YD, WD, clustered WD, honeycomb pigmentation, black dotted pigmentation, and vellus hairs are markers of disease severity and inactive late stage disease [4,12,20,24,30,55,58]. In addition to this, disease activity showed negative relation with atypical red vessels in our study, we believed that these atypical red vessels indicated rejuvenation after the catabolic process in progressive AA [30].…”
Section: Alopecia Areatamentioning
confidence: 99%