The hair loss is never complete. Short broken hairs of varying length are characteristic. The disease can be diagnosed clinically. A detailed social and psychological history are essential. Often, the disease is self-limiting upon reassurance.
Parents have to be interviewed so that the problem can be addressed.
Sometimes, referring patient to clinical psychologist or psychiatrist may be helpful. Traction Alopecia Alopecia secondary to hair styling, hot-combing to straighten kinky hair. It is rare in Hong Kong. Tinea Capitis Tinea capitis must be considered as one of differential diagnosis as a cause of patchy alopecia in children. The infected hair are brittle and are easily broken.