Q:

A young girl with a psychiatric history on medical treatment is brought to the dermatologist by her mother because of recurrent patchy hair loss. Exam: the hair shafts revealed twisting and fractures. This suggests the following pathology:

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A young girl with a psychiatric history on medical treatment is brought to the dermatologist by her mother because of recurrent patchy hair loss. Exam: the hair shafts revealed twisting and fractures. This suggests the following pathology:


  1. Infection with Trichophyton tonsurans
  2. Infection with Microsporum canis
  3. Alopecia areata
  4. Telogen Effluvium
  5. Androgenetic Alopecia
  6. Lichen planus
  7. Traction Alopecia
  8. Alopecia totalis

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The key is J. Trichotillomania. [Trichotillomania is a compulsive desire to pull out one's hair].

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