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The Color Atlas of Family Medicine | Part 13. Dermatology > Section 17. Hair and Nail Conditions > | Chapter 181. Traction Hair Loss and Trichotillomania Sections: Patient Story, Epidemiology, Etiology and Pathophysiology, Diagnosis, Differential Diagnosis, Management, Patient Education, Follow-Up, References. Topics Discussed: traction alopecia; trichotillomania. Excerpt:"A 38-year-old woman was found to have hair thinning on the anterior scalp. She had long thick heavy hair that she always styled in a bun on the top of her head. She was concerned about the slow, steady loss of hair that she was experiencing. Figure 181-1 shows the appearance of the thinned hair as a result of chronic traction. A 4-mm punch biopsy was performed to confirm the clinical impression and the histology was supportive of this diagnosis...."
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