2 citations
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January 2020 in “Skin appendage disorders” Long hair can cause hair loss due to constant pulling.
March 2026 in “Journal of Skin and Sexually Transmitted Diseases” This case series reports on 10 female patients with non-marginal traction alopecia, characterized by asymptomatic focal hair loss in the middle of the scalp, with otherwise normal long hair. Despite denying common causes like tight hairstyles or chemical treatments, trichoscopic and histopathological evaluations confirmed traction alopecia. The study suggests that the weight of very long hair, termed "Rapunzel alopecia," may contribute to this condition. Patients were advised to cut their hair shorter and use a topical 2% minoxidil solution, which improved their condition within months. This highlights the importance of recognizing non-marginal traction alopecia as a distinct form of hair loss due to prolonged physical pressure on the scalp.
14 citations
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July 2009 in “European Journal of Gastroenterology & Hepatology” Rapunzel syndrome is more common in Asian countries and requires early diagnosis, especially in Asian girls.
Recognize Rapunzel syndrome in children with unexplained stomach issues for timely treatment.
September 2024 in “Quality in Sport” Trichotillomania is an obsessive-compulsive disorder causing hair pulling, needing complex treatment to prevent serious issues.