7 key trichoscopy features of trichotillomania

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The seven key trichoscopy features of trichotillomania. This video summerises the most common and the most specific trichoscopy features of trichotillomania (hair pulling).
It adresses the newly deacribed trichotillomania incognito.
The distinction between automatic and focused trichotillomania is discussed. I share my point of view, about trichotillomania which is often treated by the dermatologists and the type of trichotillomania which requires psychiatric treatment.
#profLidiaRudnicka #NotJustHairDiseases

Опубликовано:

5 окт 2024

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Комментарии : 40

@chiarapensa7492 3 года назад

thanks for sharing! that's the clearest description I've seen

@profLidiaRudnicka 3 года назад

Wow! Thank you so much! 💕

@vitaminulE 3 года назад

I am happy to learn with you🥰

@profLidiaRudnicka 3 года назад

Thank you very much :-)

@hagarnofal5966 3 года назад

Very helpful thank you 👏

@profLidiaRudnicka 3 года назад

Thank you :-)

@nadezhdabrabcova3998 3 года назад

Hello professor and thank you for educating us in all possible ways:) I would like to ask you - sometimes patients come and say that they have itchy scalp and they scratch themself . In the examination I see alopecic plaques with signs of TTM. How do you approach these patients? Would you do some more examination (biopsy, patch tests, else?) to find out if there is really a reason for their scratching? Thank you:)

@profLidiaRudnicka 3 года назад

Thank you ;-) My first idea would be scalp dysethesia, usually also with brom hairs; also trichoteiromannia (hair rubbing) may give a similar trichoscopy image as trichotillomania ; in the first situation I would consider triamcinolone infections

@nadezhdabrabcova3998 3 года назад

@@profLidiaRudnicka Thank you professor:))

@manarsallam4164 2 года назад

Thank you so much dear professor...I saw a lot of cases of TTT incognito but this is fist time to know this terminology ,many thanks

@profLidiaRudnicka 2 года назад

I think that the terminology is still not perfect, because most persons with trichotillomania do not have a "mania". Thanks a lot for your comment!

@nandormezei9065 3 года назад

Dear prof. Lidia Rudnicka! I have beard alopecia areata for 3 years. My doctor recommends tonsil surgery because pus comes out of my tonsils when she pushes it. My tonsils are bad for 3 years too. Plus I have a constant ear inflammation for 2 years. I have never heard about a tonsil surgery that solved alopecia areata. Do you know a case when a tonsil surgery solved alopecia areata? What do you think? Thank you! : )

@profLidiaRudnicka 3 года назад

This is complex issue. Any inflammatory disease (such as bacterial tonsillitis) may decrease or inhibit the efficacy of treatment. Tonsillitis may also be a contraindication for some treatments. However, treating tonsillitis alone is not likely to help the hair disease.

@andradaniela4811 3 года назад

Very nice! Thank you

@profLidiaRudnicka 3 года назад

Thank you!

@samt486 3 года назад

Thank you for sharing.

@profLidiaRudnicka 3 года назад

Thanks!

@sehameltobshy1551 3 года назад

Thanks so much

@profLidiaRudnicka 3 года назад

Thank you very much for your comment!

@rengol.4884 3 года назад

Hi Professor, is there a way I can get in touch with you please ? I have a Universal alopécia for now 8 months with nothing left, not even the life i used to live... Thank you in advance.

@profLidiaRudnicka 3 года назад

I have an office in Warsaw, but waiting time is over 1 year. I suggest to look up a dermatologist and ask at the front desk whether she/he is treating hair diseases. If not try another dermatologists. Dermatology is a very wide field and some dermatologists focus on being rather super-experts in a limited area rather than treating every dermatological disease

@cheryl9269 Год назад

I have suffered from trichotillomania for 35yrs. Significant hair loss and worn wigs for last 20yrs. My scalp is so itchy! Pulling helps relieve this. Is there any relief for itchy scalp like this?

@profLidiaRudnicka Год назад

Maybe you have a disease that causes the itch (lichen planopilaris? scalp disesthesia etc). This should be diagnosis and treated.

@hawraasaeed1633 3 года назад

Amazing

@profLidiaRudnicka 3 года назад

Thanks a lot. This is so nice of you :-)

@twostrudelsplease2511 Год назад

I have very annoying wiry, pubic-like hairs at the top of my scalp. I play with them involuntarily. It is not due to damage as i never use heat. Do you know why they are like that and if I can do anything about it?

@profLidiaRudnicka Год назад

There are many hair structure abnormalites, so it is impossible to say, but playing with hair weakens the hair shaft and may influence the hair appearance

@andradaniela4811 3 года назад

Hello! Do you recommend a patricular type of dermatoscope for tricoscopy? Thank you so much!

@profLidiaRudnicka 3 года назад

If possible, I suggest to try taking every dermoscope in your hand (or at least the one that you plan to buy) and check whether it is comfortable FOR YOU and you see well the whole field of view. In regard to handheld dermoscopes I was using Heine and Dermlite and I was happy with the models I purchased. My most recent one is Heine DeltaOne and I am very happy with it, but again, I recomend checking yourself before you decide

@andradaniela4811 3 года назад

@@profLidiaRudnicka thank you so much for your response. I ve overded a DL4 and i m very happy with it. I love your papers you are doing an amazing job. Also you were great during EADV

@profLidiaRudnicka 3 года назад

@@andradaniela4811 Thanks, it is soo kind of you.....

@Ellahomerealtor 3 года назад

Hi Doctor, Lidia, How can I visit your office?

@profLidiaRudnicka 3 года назад

Thank you for the question. Please take a look at my response to Rengo L

@DEXTER-in4jb 7 месяцев назад

A guy plucked my hair it looks bald does it re grow

@profLidiaRudnicka 7 месяцев назад

Yes

@Modlb7 Год назад

Does it also cause miniaturization?

@profLidiaRudnicka Год назад

No, it is not associated with miniarurization

@Modlb7 Год назад

@@profLidiaRudnicka i’m sorry i meant does traction alopecia cause miniaturization? And if there is miniaturization due to traction alopecia is the miniaturization because of scarring that is happening or is the miniaturization process in traction alopecia a sign that hair is still alive and can be thickened again if traction is stopped ? (To sum it up is miniaturized hairs in traction an early sign before scarring happens completely?)