TY - JOUR
T1 - The case of the balding preschooler
AU - Abubucker, Somya
AU - Cohen, Bernard A
PY - 2017/11/1
Y1 - 2017/11/1
N2 - A common cause of focal nonscarring alopecia in children is trichotillomania (TTM), a pediatric-onset obsessive-compulsive and related disorder. Although it is useful to differentiate between the early-onset TTM that tends to be more automatic and self-limited and the later-onset more compulsive and persistent variant, currently TTM is not formally subtyped. The diagnosis of TTM is clinical, with the key elements being a history that is positive for hair manipulation, physical examination that shows patches of incomplete alopecia with irregular borders, and trichoscopy demonstrating broken hairs on a normal scalp. Early-onset TTM responds well to simple behavior interventions, and later-onset TTM is best managed with behavior and pharmacologic therapy.
AB - A common cause of focal nonscarring alopecia in children is trichotillomania (TTM), a pediatric-onset obsessive-compulsive and related disorder. Although it is useful to differentiate between the early-onset TTM that tends to be more automatic and self-limited and the later-onset more compulsive and persistent variant, currently TTM is not formally subtyped. The diagnosis of TTM is clinical, with the key elements being a history that is positive for hair manipulation, physical examination that shows patches of incomplete alopecia with irregular borders, and trichoscopy demonstrating broken hairs on a normal scalp. Early-onset TTM responds well to simple behavior interventions, and later-onset TTM is best managed with behavior and pharmacologic therapy.
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U2 - 10.1542/pir.2016-0143
DO - 10.1542/pir.2016-0143
M3 - Article
C2 - 29093128
AN - SCOPUS:85034644457
VL - 38
SP - e41-e44
JO - Pediatrics in Review
JF - Pediatrics in Review
SN - 0191-9601
IS - 11
ER -