A 4 year old African American girl comes to your office with the complaint that her hair is falling out. Differential Diagnosis loss associated with seborrhea dermatitis of the scalp. Usually see waxy scales and evidence of seborrhea on the face, neck, behind the ears, or in the diaper area. Usually see some scaliness and broken hairs. More common in African American and may have positive family history.
Child pulls their hair out.
Often associated with thumbsucking and putting hair in the mouth. Traction causing hair loss. Tight braids or ponytails Telogen effluvium. Hair stops in resting phase. Often follows illness or stressful event 6 weeks to 3 months before.