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Trichotillomania (tearing the hair) is a more frequent disorder than is believed, with an average prevalence of more than 1%.
Debuts already in childhood and can occur in all ages and sexes.
In university students, the prevalence is around 3.4% in females and 1.5% in male students.
Chronic hair pulling has been associated with psychological disorders (anxiety, depression, psychosis) or behavioral disorders (Obsessive Seizure Disorder OCD).
In children it is usually a transient problem. In adolescents and adults it tends to become chronic, with exacerbations and remissions.
This traction alopecia is usually reversible, although sometimes the scalp is damaged so much that it can cause irregular or sparse capillary regeneration.
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