Trichoscopy in trichotillomania: a useful diagnostic tool
Trichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the most common site for pulling hair. Usually, patients may have only small areas of baldness, in severe forms, tonsure pattern of baldness is observed. Di...
Saved in:
Published in | International journal of trichology Vol. 6; no. 4; pp. 160 - 163 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications and Media Pvt. Ltd
01.10.2014
Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Trichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the most common site for pulling hair. Usually, patients may have only small areas of baldness, in severe forms, tonsure pattern of baldness is observed. Diagnosis is by history and clinical examination. However, it is difficult to differentiate from other causes of noncicatricial alopecia. Here, authors observed trichoscopic patterns and evaluated their importance in the diagnosis of TTM.
This study was conducted in S. Nijalingappa Medical College, Bagalkot, from January 2014 to July 2014. Ten patients with clinically suspected TTM were included in the study. Informed consent was taken and ethical clearance was obtained. Dermlite3 dermoscope was used with Sony camera attachment to save the images. Histopathological examination was conducted in all the patients to confirm the diagnosis.
Ten patients were included in the study. Mean age of the patients was 34 years. Most common symptom was patchy loss of hair in the frontal area (100%). Common trichoscopic feature was decreased hair density and broken hairs. Trichoptilosis (split ends) and irregular coiled hairs were seen in 80% patients. Novel diagnostic signs like black dots, flame hair, v-sign, follicular hemorrhages, were seen in 30% each. Tulip hair and hair powder were observed in 10% of patients. All patients had the noninflammatory alopecia with distorted and collapsed inner root sheath in histopathology.
Trichotillomania is often chronic and difficult to treat. Hence, early diagnosis and treatment is necessary. Authors believe that the trichoscopy plays a vital role in the diagnosis of this condition by demonstrating specific trichoscopic patterns. |
---|---|
AbstractList | Trichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the most common site for pulling hair. Usually, patients may have only small areas of baldness, in severe forms, tonsure pattern of baldness is observed. Diagnosis is by history and clinical examination. However, it is difficult to differentiate from other causes of noncicatricial alopecia. Here, authors observed trichoscopic patterns and evaluated their importance in the diagnosis of TTM.
This study was conducted in S. Nijalingappa Medical College, Bagalkot, from January 2014 to July 2014. Ten patients with clinically suspected TTM were included in the study. Informed consent was taken and ethical clearance was obtained. Dermlite3 dermoscope was used with Sony camera attachment to save the images. Histopathological examination was conducted in all the patients to confirm the diagnosis.
Ten patients were included in the study. Mean age of the patients was 34 years. Most common symptom was patchy loss of hair in the frontal area (100%). Common trichoscopic feature was decreased hair density and broken hairs. Trichoptilosis (split ends) and irregular coiled hairs were seen in 80% patients. Novel diagnostic signs like black dots, flame hair, v-sign, follicular hemorrhages, were seen in 30% each. Tulip hair and hair powder were observed in 10% of patients. All patients had the noninflammatory alopecia with distorted and collapsed inner root sheath in histopathology.
Trichotillomania is often chronic and difficult to treat. Hence, early diagnosis and treatment is necessary. Authors believe that the trichoscopy plays a vital role in the diagnosis of this condition by demonstrating specific trichoscopic patterns. Introduction: Trichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the most common site for pulling hair. Usually, patients may have only small areas of baldness, in severe forms, tonsure pattern of baldness is observed. Diagnosis is by history and clinical examination. However, it is difficult to differentiate from other causes of noncicatricial alopecia. Here, authors observed trichoscopic patterns and evaluated their importance in the diagnosis of TTM. Materials and Methods: This study was conducted in S. Nijalingappa Medical College, Bagalkot, from January 2014 to July 2014. Ten patients with clinically suspected TTM were included in the study. Informed consent was taken and ethical clearance was obtained. Dermlite3 dermoscope was used with Sony camera attachment to save the images. Histopathological examination was conducted in all the patients to confirm the diagnosis. Results: Ten patients were included in the study. Mean age of the patients was 34 years. Most common symptom was patchy loss of hair in the frontal area (100%). Common trichoscopic feature was decreased hair density and broken hairs. Trichoptilosis ("split ends") and irregular coiled hairs were seen in 80% patients. Novel diagnostic signs like black dots, flame hair, v-sign, follicular hemorrhages, were seen in 30% each. Tulip hair and hair powder were observed in 10% of patients. All patients had the noninflammatory alopecia with distorted and collapsed inner root sheath in histopathology. Conclusion: Trichotillomania is often chronic and difficult to treat. Hence, early diagnosis and treatment is necessary. Authors believe that the trichoscopy plays a vital role in the diagnosis of this condition by demonstrating specific trichoscopic patterns. INTRODUCTIONTrichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the most common site for pulling hair. Usually, patients may have only small areas of baldness, in severe forms, tonsure pattern of baldness is observed. Diagnosis is by history and clinical examination. However, it is difficult to differentiate from other causes of noncicatricial alopecia. Here, authors observed trichoscopic patterns and evaluated their importance in the diagnosis of TTM. MATERIALS AND METHODSThis study was conducted in S. Nijalingappa Medical College, Bagalkot, from January 2014 to July 2014. Ten patients with clinically suspected TTM were included in the study. Informed consent was taken and ethical clearance was obtained. Dermlite3 dermoscope was used with Sony camera attachment to save the images. Histopathological examination was conducted in all the patients to confirm the diagnosis. RESULTSTen patients were included in the study. Mean age of the patients was 34 years. Most common symptom was patchy loss of hair in the frontal area (100%). Common trichoscopic feature was decreased hair density and broken hairs. Trichoptilosis (split ends) and irregular coiled hairs were seen in 80% patients. Novel diagnostic signs like black dots, flame hair, v-sign, follicular hemorrhages, were seen in 30% each. Tulip hair and hair powder were observed in 10% of patients. All patients had the noninflammatory alopecia with distorted and collapsed inner root sheath in histopathology. CONCLUSIONTrichotillomania is often chronic and difficult to treat. Hence, early diagnosis and treatment is necessary. Authors believe that the trichoscopy plays a vital role in the diagnosis of this condition by demonstrating specific trichoscopic patterns. |
Audience | Academic |
Author | Sujana, L Naidu, M Varna Beergouder, Savitha L Ankad, Balachandra S |
AuthorAffiliation | Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India |
AuthorAffiliation_xml | – name: Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India |
Author_xml | – sequence: 1 givenname: Balachandra S surname: Ankad fullname: Ankad, Balachandra S organization: Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India – sequence: 2 givenname: M Varna surname: Naidu fullname: Naidu, M Varna organization: Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India – sequence: 3 givenname: Savitha L surname: Beergouder fullname: Beergouder, Savitha L organization: Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India – sequence: 4 givenname: L surname: Sujana fullname: Sujana, L organization: Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25368471$$D View this record in MEDLINE/PubMed |
BookMark | eNptUctOAyEUJabGZ_euzCRu3LTyGoZxYdIYX0kTN3VNGAYqhoE6zJj49zK2PmqEBZd7zzmXyzkEIx-8BuAEwSlFkFzAsqCTosjJFFHMc7YDDj5TJaZotImH8j4Yx_gC0yIEIcj2wD7OCeO0QAegXLRWPYeowuo9sz7rPq-ddS400lt5mcmsj9r0LqutXPoQO6uyLgR3DHaNdFGPN-cReLq9WVzfT-aPdw_Xs_lEUcjYhCpD6prjqmYaV1SzFJkCU1pzpqv0xqouDUWcSQIp45VmppTKYCMVyXMiyRG4Wuuu-qrRtdK-a6UTq9Y2sn0XQVqxXfH2WSzDm6AYYVyiJHC-EWjDa69jJxoblXZOeh36KBDDMOeMcpigZ3-gL6FvfRovoVBR5hTm5Ae1lE4L601IfdUgKmakxIQjglhCTf9BpV3rxqpkpbEpv0WAa4JqQ4ytNt8zIigGx8VgqRgsFWvHE-X09998E778JR8jr6Z2 |
CitedBy_id | crossref_primary_10_1007_s13555_018_0256_z crossref_primary_10_1016_j_mjafi_2023_08_016 crossref_primary_10_1111_ddg_20_12781 crossref_primary_10_1159_000477588 crossref_primary_10_1590_abd1806_4841_20175435 crossref_primary_10_1136_bmj_2023_078418 crossref_primary_10_5021_ad_2019_31_1_117 crossref_primary_10_1159_000512038 crossref_primary_10_1016_j_piel_2020_05_004 crossref_primary_10_1111_ddg_12781 crossref_primary_10_1016_j_jaad_2018_06_021 crossref_primary_10_1159_000445721 crossref_primary_10_2340_00015555_3859 crossref_primary_10_25259_IJDVL_1047_20 crossref_primary_10_33589_32_4_123 crossref_primary_10_5812_jssc_133045 crossref_primary_10_17816_dv133726 crossref_primary_10_1016_j_jaad_2023_07_009 crossref_primary_10_1111_pde_13954 crossref_primary_10_4103_idoj_IDOJ_508_18 crossref_primary_10_1016_j_ijwd_2021_02_002 crossref_primary_10_1111_ijd_16344 crossref_primary_10_4103_cdr_cdr_7_22 crossref_primary_10_1111_ijd_13453 |
ContentType | Journal Article |
Copyright | COPYRIGHT 2014 Medknow Publications and Media Pvt. Ltd. Copyright Medknow Publications & Media Pvt Ltd Oct-Dec 2014 Copyright: © International Journal of Trichology 2014 |
Copyright_xml | – notice: COPYRIGHT 2014 Medknow Publications and Media Pvt. Ltd. – notice: Copyright Medknow Publications & Media Pvt Ltd Oct-Dec 2014 – notice: Copyright: © International Journal of Trichology 2014 |
DBID | NPM AAYXX CITATION 3V. 7X7 7XB 8FE 8FG 8FI 8FJ 8FK 8G5 ABJCF ABUWG AFKRA AZQEC BENPR BGLVJ CCPQU DWQXO FYUFA GHDGH GNUQQ GUQSH HCIFZ K9. L6V M0S M2O M7S MBDVC PADUT PIMPY PQEST PQQKQ PQUKI PRINS PTHSS Q9U 7X8 5PM |
DOI | 10.4103/0974-7753.142856 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) ProQuest SciTech Collection ProQuest Technology Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) Materials Science & Engineering Collection ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central Technology Collection ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep SciTech Premium Collection (Proquest) (PQ_SDU_P3) ProQuest Health & Medical Complete (Alumni) ProQuest Engineering Collection Health & Medical Collection (Alumni Edition) Research Library Engineering Database Research Library (Corporate) Research Library China Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China Engineering Collection ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database Research Library Prep ProQuest Central Student Technology Collection ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College Research Library (Alumni Edition) ProQuest Central China ProQuest Central ProQuest Engineering Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Research Library Research Library China Engineering Collection Engineering Database ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) ProQuest SciTech Collection ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Materials Science & Engineering Collection ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | PubMed Publicly Available Content Database MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 8FG name: ProQuest Technology Collection url: https://search.proquest.com/technologycollection1 sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 0974-9241 |
EndPage | 163 |
ExternalDocumentID | 3474526551 A392381316 10_4103_0974_7753_142856 25368471 |
Genre | Journal Article |
GeographicLocations | India |
GeographicLocations_xml | – name: India |
GroupedDBID | 29J 3V. 53G 7X7 8FE 8FG 8FI 8FJ 8G5 ABDBF ABJCF ABJNI ABUWG ABXLX ACGFS ACIWK ADBBV ADRAZ AFKRA AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS AZQEC BAWUL BENPR BGLVJ BPHCQ BVXVI CCPQU DIK DWQXO EBS EJD EOJEC ESX F5P FRP FYUFA GNUQQ GUQSH H13 HCIFZ HMCUK HYE IAO IEA IHR IL9 ITC KQ8 L6V M2O M48 M7S M~E NPM O5R O5S OBODZ OK1 OVD P2P PADUT PGMZT PIMPY PQQKQ PROAC PTHSS RMW RPM TEORI TR2 TUS UKHRP W3E AAYXX CITATION 7XB 8FK K9. MBDVC PQEST PQUKI PRINS Q9U 7X8 5PM |
ID | FETCH-LOGICAL-c4066-4cf3dd82bd6e2b4e62bdf7244d86eb974bd9f4186a30468be6f9acf2fac3553a3 |
IEDL.DBID | RPM |
ISSN | 0974-7753 |
IngestDate | Tue Sep 17 20:41:26 EDT 2024 Sat Aug 17 02:49:34 EDT 2024 Thu Oct 10 21:14:40 EDT 2024 Thu Feb 22 23:51:40 EST 2024 Fri Feb 02 04:03:26 EST 2024 Fri Aug 23 03:05:04 EDT 2024 Sat Sep 28 08:01:51 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Keywords | trichotillomania Trichomalacia trichoscopy trichoptilosis tulip hair v-sign |
Language | English |
License | This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c4066-4cf3dd82bd6e2b4e62bdf7244d86eb974bd9f4186a30468be6f9acf2fac3553a3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212291/ |
PMID | 25368471 |
PQID | 1617954053 |
PQPubID | 226495 |
PageCount | 4 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_4212291 proquest_miscellaneous_1620586480 proquest_journals_1617954053 gale_infotracmisc_A392381316 gale_infotracacademiconefile_A392381316 crossref_primary_10_4103_0974_7753_142856 pubmed_primary_25368471 |
PublicationCentury | 2000 |
PublicationDate | 2014-10-01 |
PublicationDateYYYYMMDD | 2014-10-01 |
PublicationDate_xml | – month: 10 year: 2014 text: 2014-10-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | India |
PublicationPlace_xml | – name: India – name: Mumbai |
PublicationTitle | International journal of trichology |
PublicationTitleAlternate | Int J Trichology |
PublicationYear | 2014 |
Publisher | Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd |
Publisher_xml | – name: Medknow Publications and Media Pvt. Ltd – name: Medknow Publications & Media Pvt. Ltd – name: Medknow Publications & Media Pvt Ltd |
References | 9773774 - Psychosom Med. 1998 Sep-Oct;60(5):658-60 8823553 - Cutis. 1996 Jul;58(1):67-70 24882977 - Ann Dermatol. 2014 Apr;26(2):214-20 21152803 - An Bras Dermatol. 2010 Sep-Oct;85(5):723-6 24096547 - Acta Derm Venereol. 2014 May;94(3):303-6 24778525 - Int J Trichology. 2013 Oct;5(4):170-8 2365878 - J Am Acad Dermatol. 1990 Jul;23(1):56-62 24815359 - J Dermatol. 2014 Jun;41(6):518-20 22408709 - J Dermatol Case Rep. 2011 Dec 12;5(4):82-8 22826725 - J Dermatol Case Rep. 2012 Jun 30;6(2):63-4 2001629 - Cutis. 1991 Feb;47(2):107-10 |
References_xml | |
SSID | ssj0000331106 |
Score | 2.1447906 |
Snippet | Trichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the most common... Introduction: Trichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is... INTRODUCTIONTrichotillomania (TTM) is characterized by patchy alopecia of hair bearing areas. This is because of compulsive urge to pull the hair. Scalp is the... |
SourceID | pubmedcentral proquest gale crossref pubmed |
SourceType | Open Access Repository Aggregation Database Index Database |
StartPage | 160 |
SubjectTerms | Diagnosis Diagnostic imaging Original Trichotillomania |
SummonAdditionalLinks | – databaseName: ProQuest Technology Collection dbid: 8FG link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwEB5BkRCXincDBQUJCXEITWyvY3NBK8RSIZVTK_Vm-amutEoKmz303zOTZMOGA7ckHifO2PF88cx8BnivBHMs-LKwtdCFUMwXriZ6bReDDbZUTlM28sVPeX4lflwvrscFt-0YVrmfE_uJOrSe1sjPCIdrghf8y-2vgnaNIu_quIXGfXhQERMeZYqvvk9rLCXnaN16d6WmsEOE5oOnUlQlP5uufSLWMdrB-sAy_Ts_HxioefDkgTVaPYbjEUbmy6Hfn8C92DyFhxejo_wZ6Euc325ayjm5y9dN3vWn3XqzaYnwwn7Ol_luG9Nuk4ch2A5vlHdtu3kOV6tvl1_Pi3GXhMKjMZaF8ImHoJgLMjInosSjVKPVDkpGh-_ogk6iUtKSE1S5KJO2PrFkPWINbvkLOGraJp5ArqKIi1TzSKzsCeuVOoYUS8trSrV0GXzca8jcDmQYBn8iSJuGtGlIm2bQZgYfSIWGvhPUk7djuD8-iRinzBKBGaIFXqHk6UwSx7efF-87wYzf19b8HQ0ZvJuKqSbFjDWx3ZEMKxdKClVm8HLos6nVbMEl2eUM6llvTgLEuj0vadY3Pfs2udCZrl79v1mv4RFCKzGE_Z3CUfd7F98gfOnc236M_gGnA-yE priority: 102 providerName: ProQuest – databaseName: Scholars Portal Open Access Journals dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Na9wwEB2aFEIupR9p6jYtLhRCDt54JVmWeilLaQiF7SkLuQnJksiCsdvEC82_74zt3cYl9GajkS2PxponZuYJ4JMSzDFf5Zkthc6EYlXmSqLXdsFbb3PlNFUjL3_Iy5X4fl1c_y2PHhV49-jWjs6TWt3Ws9-_7r_gD4_4dSbmOT_PNeUUIu6eEX1YIffgKRNckL0vR7Dfr8uco6_rg5fbDkPc8tGHTPzUv6v1A3c1TaV84JsunsOzEVSmi8EKXsCT0LyEg-UYNn8F-gpXu5uWKlDu03WTdv1tt67rlugv7Od0kW7uQtzUqR9S7_BBade29RGsLr5dfb3MxjMTsgpds8xEFbn3ijkvA3MiSLyKJfpwr2Rw-I3O6yjmSloKiSoXZNS2iizaCpEHt_w17DdtE95AqoIIRSx5II72iP1yHXwMueUlFV66BM62GjI_B2oMg1sK0qYhbRrSphm0mcApqdDQPKKeKjsm_-ObiH_KLBCmIXbgc5Q8mUiitVfT5u0kmK2xGNqjaYKePIGPu2bqSRlkTWg3JMPyQkmh8gSOhznbjZoVXJKXTqCczOZOgDi4py3N-qbn4qaAOtPzt_8f9Ts4RKAlhiTAE9jvbjfhPYKZzn3obfQP96vu2Q priority: 102 providerName: Scholars Portal |
Title | Trichoscopy in trichotillomania: a useful diagnostic tool |
URI | https://www.ncbi.nlm.nih.gov/pubmed/25368471 https://www.proquest.com/docview/1617954053 https://search.proquest.com/docview/1620586480 https://pubmed.ncbi.nlm.nih.gov/PMC4212291 |
Volume | 6 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3da9swED_aDsZexr7rrQseDMYenDiWbMt7y7pkZZBSRsLyJvRJA65d1uRh__3u_BHiPe5F2NbJlk-nuxP30wngo-CJTqyJI5XzIuIiMZHOKb22dlZZFQtd0G7k5XV2teY_NunmBNJ-L0wD2jd6O67Ku3G1vW2wlfd3ZtLjxCY3y0uKYibFdHIKpzljR0v0Rv0yhiatiVEWhDVEf7wNT_JpzCaHZ2NKNZbSCUZJyjLS0QPL9K9-PjJQQ_DkkTVaPIOnnRsZztruPocTV72Ax8suUP4SihXqt9ua9pz8CbdV2N7utmVZU8IL9SWchesH5_dl-K0F2-GLwlVdl69gvZivLq-i7pSEyKAxziJuPLNWJNpmLtHcZXjlc7TaVmRO4-9qW3g-FZmiIKjQLvOFMj7xyqCvwRR7DWdVXblzCIXjLvU5c5SV3WO7uHDWu1ixnLZa6gA-9xyS920yDImLCGKsJMZKYqxsGRvAJ2KhpHmCfDKqg_vjlyjjlJyhY4beApsi5cWAEuXbDKv7QZDd_HqQtCoryNlkAXw4VFNLwoxVrt4TTRKnIuMiDuBNO2aHXvdjHkA-GM0DAWXdHtagMDbZtzvhe_vfLd_BE_S6eIsIvICz3e-9e4-ezU6PUJ43OZZi8X0Ej77Or29-4t2Si1Ej41j-YvO_JKT6Gw |
link.rule.ids | 230,315,733,786,790,891,2236,12083,12792,21416,24346,27955,27956,31752,31753,33406,33407,33777,33778,43343,43633,43838,53825,53827 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lj9MwEB5BVwIuiDeBBYKEhDiETW03sbmggnZVYFsh1JX2ZvmprVQlC00P_HtmmjQ0HLglsZ04Y2fmi2f8DcAbKZhl3uWZKYXKhGQusyXRa9vgjTe5tIp2I88XxexCfL2cXHYLbpsurHKvE3eK2teO1shPCIcrghf84_XPjLJGkXe1S6FxE46IclOO4OjT6eL7j36VJecc7dvOYako8BDBeeurFOOcn_TX3hPvGOWwPrBN_2roAxM1DJ88sEdn9-BuByTTaTvy9-FGqB7ArXnnKn8Iaoka7qqmXSe_01WVNrvTZrVe10R5YT6k03S7CXG7Tn0bboc3Spu6Xj-Ci7PT5edZ1uVJyBya4yITLnLvJbO-CMyKUOBRLNFue1kEi-9ovYpiLAtDblBpQxGVcZFF4xBtcMMfw6iqq_AUUhlEmMSSB-Jlj9guV8HHkBte0mZLm8C7vYT0dUuHofE3gqSpSZqapKlbaSbwlkSo6UtBOTnTBfzjk4hzSk8RmiFe4GOseTyoiTPcDYv3g6C7L2yj_86HBF73xdSSosaqUG-pDssnshAyT-BJO2Z9r9mEF2SZEygHo9lXIN7tYUm1utrxb5MTnanxs_936xXcni3n5_r8y-Lbc7iDQEu0QYDHMGp-bcMLBDONfdnN2D_-yvDb |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9NAEF5BkSouvCmGAkZCQhz8yO7aXnOLWqLySNVDIlVcVvtUI1w7oskBfj0zfkRxj73F2Vkn9uzsfKv59ltCPgpONbUmjVTBy4gLaiJdoLy2dlZZlQpd4m7k-Xl-tuTfL7PLvaO-WtK-0au4rq7jenXVcivX1yYZeGLJxfwEq5i0nCRr65P75AHELC32FurtJMwYJLa2Ulki4xBQeVek5JOUJbvvYhQcy_AcI5qxHGfqUX66PUvvpakxhXIvJ80ek1_D03RUlN_xdqNj8--W0OOdHvcJedQj1XDamTwl91z9jBzO-1r8c1IuYAq9anBby99wVYfd5WZVVQ1qaqgv4TRc3ji_rcLTjs8HNwoXTVO9IMvZ18XJWdQfxBAZyPd5xI1n1gqqbe6o5i6HT74AYGBF7jS8S21LzyciV1hnFdrlvlTGU68MwBmm2EtyUDe1e0VC4bjLfMEcCr976JeWznqXKlbgbk4dkM_D65frTm9DwjoFvSbRaxK9JjuvBeQT-kdiKIITjOp3FMAvoaiVnAL2A0DCJmB5PLKEEDLj5sHDsg_hG4kLvxLxLAvIh10z9kRaWu2aLdrQNBM5F2lAjroBsfvXw4AKSDEaKjsDFPYet8AAaAW-e4e_vnPP9-Tw4nQmf347__GGPASMxzv-4TE52PzZureAozb6XRsx_wFN0xlk |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Trichoscopy+in+trichotillomania%3A+A+useful+diagnostic+tool&rft.jtitle=International+journal+of+trichology&rft.au=Ankad%2C+Balachandra&rft.au=Naidu%2C+M&rft.au=Beergouder%2C+Savitha&rft.au=Sujana%2C+L&rft.date=2014-10-01&rft.pub=Medknow+Publications+and+Media+Pvt.+Ltd&rft.issn=0974-7753&rft.eissn=0974-9241&rft.volume=6&rft.issue=4&rft.spage=160&rft_id=info:doi/10.4103%2F0974-7753.142856&rft.externalDocID=A392381316 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0974-7753&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0974-7753&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0974-7753&client=summon |