Trichoteiromania L65.9; F63.8

Authors: Prof. Dr. med. Peter Altmeyer, Prof. Dr. Stefanie Reich-Schupke

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Last updated on: 29.10.2020

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Synonym(s)

Alopecia Scheueralopecia; Hairlessness due to chafing; Scrubbing ophthalmia

History
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Freyschmidt-Paul, 2001

Definition
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Accidental-traumatic alopecia with hair breakage and inconspicuous hair root status caused by rubbing and scratching

Etiopathogenesis
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  • Adults: Often based on social conflicts, secondary disease, anxiety or obsessive-compulsive disorders. Itchy skin diseases such as atopic eczema can also promote the development of trichoteiromania.
  • Children: Among other things, adaptation disorders or trauma (child abuse).
  • Infants: Due to the one-sided position of the head and by rubbing against the pad.

Manifestation
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Occurs in infants, children, adolescents and adults of all ages.

Clinical features
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Flat alopecia (rarely several foci) with a slightly lichenified or inconspicuous scalp. Strictly limited to the artificially altered area. In contrast to trichotillomania (trillein = Greek for plucking), in trichoteiromania inconspicuous hair follicles are found in hairs that have remained standing, but brush-like, whitish hair tips (trichoptilosis). The scalp can be circumscribed as lichenified by the continuous abrasion artifacts. Picture as in the irritant acanthoma or in the lichen simplex chronicus.

Diagnosis
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Medical history, clinic, trichogram.

Therapy
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Clarification and treatment of the underlying cause.

Literature
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  1. Freyschmidt-Paul P et al (2001) Trichoteiromania. Eur J Dermatol 11: 369-371
  2. Hantash BM et al (2003) Traction alopecia in children. Cutis 71: 18-20
  3. Whiting DA (1999) Traumatic alopecia. Int J Dermatol 38 (Suppl1): 34-44
  4. Reich S, RT Trüeb (2003) Trichoteiromania. J Dtsch Dermatol Ges 1:22-28

Incoming links (1)

Alopecia, scouring alopecia;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020