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Trichotillomania (TTM), also known as hair-pulling disorder or compulsive hair pulling, is a mental disorder characterized by a long-term urge that results in the pulling out of one's own hair. [2] [4] A brief positive feeling may occur as hair is removed. [5] Efforts to stop pulling hair typically fail.
Pili multigemini, also known as "compound hairs," [2] is a malformation characterized by the presence of bifurcated or multiple divided hair matrices and papillae, giving rise to the formation of multiple hair shafts within the individual follicles. [3] [4]
The external root sheath appears empty with cuboid cells when stained with H&E stain. The internal root sheath is composed of three layers, Henle's layer, Huxley's layer, and an internal cuticle that is continuous with the outermost layer of the hair fiber. The bulge is located in the outer root sheath at the insertion point of the arrector ...
"During this phase, hair growth stops, and the outer root sheath shrinks and attaches to the root of the hair," says Dr. Kinler. "This detachment is a natural process as the hair prepares to enter ...
The hair shaft has been reported as thin for some cases and normally structured for other loose anagen syndrome reports. [12] The inner root sheath of normal anagen hairs usually do not have keratin in the Huxley cells, Henle cells and inner root sheath. They are usually organised in an orderly manner and densely compacted.
Perhaps the most well-known condition to cause hair loss is alopecia, which, Massick explains, “causes your own immune system to attack the hair follicles [so that] the hairs just fall out ...
Once the hair has been pulled out, persons with trichophagia might rub the hair against their lips, roll the hairs around and inspect them, bite off and swallow the bulb of the hair, or ingest the entire hair shaft as well. [9] Typically, ingested hair remains asymptomatic and is not harmful.
The necrotic matrix forms plugs consisting of melanin, keratin and inner root sheath which are extruded through the follicular opening. This process is known as trichomalacia. The main causes of anagen effluvium are an infection, a drug, a toxin, radiation or an autoimmune disease. [3] Toxins that can interrupt hair growth include: