Subscribe to RSS
DOI: 10.1055/s-2007-967745
Eyelash Loss
Publication History
Publication Date:
05 March 2007 (online)
ABSTRACT
Loss of eyelashes may occur with several conditions, including a variety of skin diseases, drug side effects, endocrine disorders, metabolic abnormalities, traumatic insults, inflammations, toxins, psychiatric disorders, and systemic disease. If the history and results of clinical, laboratory, and consultative assessments are negative, one must consider the possibility the patient is pulling them out (trichotillomania). Three case reports of spontaneous lash loss are described-one secondary to trichotillomania, one a result of hypothyroidism, and another with features of both hypothyroid and trichotillomania-to illustrate the presentation and appropriate workup to obtain a diagnosis.
KEYWORDS
Lash loss - madarosis - milphosis - allopecia - trichotillomania
REFERENCES
- 1 Barlow-Pugh M Stedmans Medical Dictionary. 27th ed. Philadelphia, PA; Lippincott Williams & Wilkins 2000
- 2 Anderson DM Dorlands Illustrated Medical Dictionary. 29th ed. Philadelphia, PA; W.B. Saunders 2000
- 3 Roy F Ocular Syndromes and Systemic Diseases. New York; Grune & Stratton 1985: 115-117
- 4 Duke-Elder S System of Ophthalmology. The Ocular Adnexa Part I-Diseases of the Eyelashes. London; Henry Kimpton 1974: 377-382
- 5 Mawn L, Jordan D R. Trichotillomania. Ophthalmology. 1997; 104 2175-2178
- 6 Schell H, Kresewetter F, Seidel C, Hintzenstern J V. Cell cycle kinetics of human anogen scalp hair bulbs in thyroid disorders determined by DNA flow cytomy. Dermatologica. 1991; 182 23-26
- 7 Mehregan A. Trichotillomania: a clinicopathological study. Arch Dermatol. 1970; 102 129-133
- 8 Swedo S, Rappaport J. Annotation: trichotillomania. Journal of Child Psychology and Psychiatry. 1991; 32 401-409
- 9 Graber J, Arndt W. Trichotillomania. Comp Psychiatry. 1993; 34 340-346
- 10 Comaish J S. The thyroid and hair growth. Semin Dermatol. 1985; 4 4-8
- 11 Olufunsho O, Bella F, Bella A F. Thyrotoxiosis in Nigeria: analysis of a five year experience. Topical and Geographical Medicine. 1990; 42 248-254
- 12 Rook A. Endocrine influences on hair growth. BMJ. 1965; 1 609-614
- 13 Mahto R S. Ocular features of hypothyroidism. Brit J Ophthal. 1972; 56 546-549
- 14 Kingery F A. Eyebrows, plus or minus. JAMA. 1966; 195:7 571
- 15 Wahlberg J. Hypophysectomy adiposity and emaciation. JAMA. 1936; 106 1968-1970
- 16 Messenger A G. Thyroid hormone and hair growth. Br J Dermatol. 2000; 142 631-635
- 17 Billoni N, Buan B, Gauthier B, Gaillard O, Mahe Y F, Bernard B A. Thyroid hormone receptor B1 is expressed in the human hair follicle. Br J Dermatol. 2000; 142 645-652
- 18 Beers MH, Berkow R Alopecia. In: The Merck Manual of Diagnosis and Therapy, 17th ed. Whitehouse Station, NJ; Merck Research Laboratories 1999: 814-815
-
19 Orentreich D S, Orentreich N.
Dermatology of the eyelids (excluding neoplasms) . In: Della Rocca RC, Nesi FA, Lismar RD Byron C Smith Ophthalmic Plastic and Reconstructive Surgery Volume 2, St. Louis; CV Mosby 1987: 855-906 - 20 Offret H, Venencie P Y, Gregoire-Cassoux N. Madarose et palade des cils. J Fr Ophthalmol. 1994; 17 486-488
- 21 Safai B, Orentreich N, Good R A. Immunological abnormalities in patients with alopecia areata. Clin Res. 1979; 27 244A
- 22 Orentreich N. Hair loss in a young boy: trichotillomania or alopecia areata. JAMA. 1975; 234 761
Dr. David R Jordan
104-340 McLeod Street, Ottawa, Ontario
Canada K2P 1A4