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A hair pulled out in this phase will typically have the root sheath attached to it which appears as a clear gel coating the first few mm of the hair from its base; this may be misidentified as the follicle, the root or the sebaceous gland by non-health care professionals. Scalp hair stays in this active phase of growth for 2–7 years; this ...
Some individuals may experience more satisfaction after pulling an anagen phase hair with the gel-like inner root sheath still surrounding the base of the hair. Trichotillomania can go into remission -like states where the individual may not experience the urge to "pull" for days, weeks, months, or even years.
"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 inner root sheath (IRS) consists of: a delicate cuticle next the hair, composed of a single layer of imbricated scales with atrophied nuclei; Huxley's layer; Henle's layer; The term "trichilemmal" refers to the outer root sheath. [2] The IRS functions to mould, adhere, as well as participate in the keratinization of growing hair. [3]
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:
The arrector pili muscles, also known as hair erector muscles, [1] are small muscles attached to hair follicles in mammals. Contraction of these muscles causes the hairs to stand on end, [ 2 ] known colloquially as goose bumps (piloerection).
Trichilemmal cysts are derived from the outer root sheath of the hair follicle. Their origin is currently unknown, but they may be produced by budding from the external root sheath as a genetically determined structural aberration. They arise preferentially in areas of high hair follicle concentrations, so 90% of cases occur on the scalp.