Clinico-Trichoscopic Evaluation of Trichoteiromania - A Case Series.

Abstract

Trichoteiromania is a self-inflicted compulsive hair disease present with an uncontrollable desire to rub leading to subsequent damage to the hair shaft. We report a case series of five cases of trichoteiromania that were diagnosed with trichoscopic assistance. Trichoscopy revealed broken hairs, longitudinal splits along the whole length of hair representing broom-like hairs, background erythema, and white scales. Trichoteiromania is a rare self-inflicting obsessive-compulsive disease that needs to be differentiated from other types of self-inflicting hair disorders. Broom hair was the most common trichoscopic finding. A combined pharmacopsychotherapy results in a very good clinical response.