9-year-old girl with stubborn hair loss?
Early in the morning of February 24, Xiaohan (a pseudonym) came to Taizhou Second People’s Hospital under the leadership of her Parents.
Xiao Han is 9 years old, in the second grade of elementary school, from Wenling, Zhejiang Province. Her parents brought her to the hospital’s dermatology department for hair loss treatment.
Her mother told the doctor that her child originally had waist-length hair, which was very good, black and shiny. One day, about six months ago, when she was tutoring her to do her homework, she suddenly found a piece of her scalp with no hair in the middle of her head.
The child is still so young, and she is starting to go bald? The Family panicked. Some people said it was because the hair was too long and consumed too much nutrition, so they cut off Xiao Han’s long hair and cut it into short, ear-length hair.
But Xiaohan’s hair was still decreasing, and the exposed area of the scalp was getting bigger and bigger. According to the development of such a situation, in a short Time, will not become bald?
What’s even more disturbing is that, with the hair decreasing, Xiao Han’s mood is also getting worse. Since the baldness, the original love of learning she increasingly do not want to go to school, refused to participate in all group activities.
Although her family bought her a wig and she couldn’t see the location of her hair loss when she put it on, Xiao Han lost more and more self-confidence, and her child, who loved to talk and laugh and play, didn’t interact with her classmates, walked with her head down, and became more and more impatient.
The doctor identified the cause, the child pulled it out himself
Since then, the family’s focus has been on Xiao Han’s hair, to many hospitals, advertising what products are useful, shampoo, hair growth agent, no matter how expensive to buy. Relatives and friends have said what prescriptions are good, but also used. I heard that ginger is good for hair growth, so my mother uses the freshest ginger slices every day to help Xiao Han rub his scalp.
Although the method tried a lot, the scalp is almost swollen, but Xiao Han’s hair is still visible to the naked eye increasingly thinning.
Chen Zeming, the director of the dermatology department at Taizhou Second People’s Hospital, felt that the condition of her hair looked very much like baldness, but the symptoms Xiao Han was showing were somewhat like a psychological problem. As a precaution, she was recommended to have a dermoscopy.
This really revealed the problem. The dermatoscopy showed that Xiao Han’s hair was broken in the shape of being pulled off. That is to say, the hair did not fall out by itself, but was pulled out alive.
Through repeated communication, Xiao Han admitted that the hair loss situation was self-inflicted, and the hair was indeed pulled out by herself: “When I was writing homework or nervous, I pulled out my hair when my mom and dad were not paying attention.”
It was painful to pluck, but afterwards, she felt much less nervous, and Xiao Han said that although she knew it was bad, she couldn’t help but to pluck her hair.
Two “hair-pulling fetishes” a week
Chen Zaiming judged that Xiao Han was the so-called “hair pulling fetish”, and on his advice, Xiao Han went to the hospital counseling center for psychological counseling.
On February 25, 8-year-old Sweetie also went to the dermatology department for hair loss under the guidance of her parents. The general situation was similar to Xiao Han’s before.
Sweetie told the doctor that she started pulling out her hair when she felt stressed around the final exams last semester. Because of the failure to meet the “double hundred” requirements set by her mother and father, the little girl did not stay idle during this winter break, and her daily schedule was full, with too much homework to write. The way Sweetie relieves her emotions is by pulling out her hair, and she has pulled herself bald.
The hospital counselor Chen Dongyang introduced, hair plucking fetish belongs to the psycho-psychological disease, a lot of mental tension, anxiety and other psychological factors or family factors, there are some patients due to curiosity imitation and habit, and eventually evolved into hair plucking fetish, a small number of patients with the cause of the disease is also related to genes. Impulsive hair plucking leads to hair loss, this impulsive behavior is a reaction to delusions or hallucinations, there is usually an increase in tension before plucking and a sense of relief or satisfaction afterwards, mostly seen in parietal, frontotemporal and occipital hair.
The main family factor for these two girls to show this behavior is that the family is financially well off, and both parents are working hard themselves and have high standards and strict requirements for their children’s future, fearing that their children will lose at the starting line. The child can not relax, constantly in tension, so that the emotional disorder.
After all, the child’s hair was pulled out by himself? It’s not a physiological problem, but a psychological one, the parents of Xiao Han were stunned. Sweet’s mom and dad also regretted hearing that their child was pulling out her hair because she was so demanding and stressed.
The main manifestation of hair plucking fetish is the absence of hair. Patients release tension by plucking hair and feel relaxed, happy and satisfied afterwards. Some patients pluck not only hair, but also eyebrows, eyelashes, and even swallow the plucked hairs. Hair plucking is often done in a contemplative, quiet situation. Because of the hair damage associated with hair plucking, most patients with hair plucking are seen in dermatology and do not realize that it is a mental illness.
Therefore, parents should not only pay more attention to their children’s habits
They should also learn to relax their control over their children
If abnormalities are detected
They should seek effective psychological treatment and medication as soon as possible
I hope the two little girls will recover soon.
In addition, I also want to remind everyone
Keep enough sleep
Staying up late can also cause hair loss
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