Isolated Eyebrows and Eyelashes Trichoteiromania Mimicking Alopecia Areata
Journal Title: Journal of Dermatology Research - Year 2020, Vol 1, Issue 3
Abstract
A 23-year-old woman, with no pathological history, was treated for alleged alopecia areata of her eyebrows and eyelashes by her usual dermatologist before being referred to our institution after treatment failure. The condition had been endured for almost two years. The affected areas were also itchy. The patient has no history of autoimmune diseases. Our clinical examination found isolated alopecia of the eyebrows and eyelids, with hair rarefaction (Fig. 1). The pull-hair test sign was negative. The rest of the hair examination of the scalp, pubis, armpits, and body duvet was without abnormalities. The nails were respected. For the alopecia, our differential diagnoses included alopecia areata, frontal fibrosing alopecia, and trichotillomania. Dermoscopic examination revealed erythema. There was no cadaveric or vellus hair and we did not find any yellow dot. Further dermoscopic analyses revealed blacks dots of different sizes, with some brushed hairs and one hook-like end hairs (Fig. 2). The patient admitted her habits of rubbing and scratching her eyebrows and eyelashes. Our final diagnosis was trichotillomania. We commenced treatment with N-acetylcysteine and a psychological evaluation. Trichotillomania of the scalp or lichen simplex chronicus is an uncommon condition, first defined in 2001 as a compulsive habit of pulling the patients’ own hairs, with hallmarks of short hairs and split, brush-like ends [1,2]. Trichotillomania affecting only the eyebrows and eyelashes is rarely reported in the medical literature.
Authors and Affiliations
Khadija Elboukhari*, Hanane Baybay, Fatima Zahra Mernissi
Keywords
Related Articles
- EP ID EP699037
- DOI http://dx.doi.org/10.46889/JDR.2020.1301
- Views 72
- Downloads 0
Chronic Recalcitrant Lesions of an Enlarged Limb: Consider Parkes Weber Syndrome
In this case, we diagnosed the patient with Parkes Weber syndrome. This syndrome is considered by some experts as a sub-form of the Klippel-Trenaunay syndrome. Both syndromes are defined by congenital vascular malformati...
In An Incisional Model of Wound Healing, Genistein Aglycone Enhances Skin Recovery: A Comparison with Raloxifene and Estradiol in Ovariectomized Rats Is Presented
Context and goal: Poor wound healing is commonly associated with estrogen depletion during menopause. Experiments on anti-aging cosmetic formulations using genistein have yielded intriguing findings about skin health. He...
The Applications of Fractional Lasers in Taiwan
The applications of fractional lasers are enormous. In Taiwan, the most commonly used fractional lasers can be divided into 3 different categories: ablative, non-ablative, and combined hybrid laser. The ablative fracti...
Immunophenotypes in Atopic Dermatitis
Atopic Dermatitis is a very heterogeneous and complex disease. Recently, the ethnic background has been reported as a determining factor for a better understanding of genetic differences, clinical phenotypes, and immun...
A New Dermatological Research Focus in the Era of COVID-19 Pandemic
In the era of COVID-19 pandemic, the significance of skin manifestations is more important than we think. Dermatologists have a unique opportunity to adequately describe skin manifestations of COVID-19, and make our co...