Trichorrhexis Nodosa Treatment & Management

Updated: May 28, 2019
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: William D James, MD  more...
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Treatment

Medical Care

Regardless of the presence or the absence of an underlying defect of the hair shaft, trichorrhexis nodosa is ultimately the result of trauma. Therefore, treatment is aimed at minimizing physical or chemical trauma.

Excessive brushing, hot combing, permanent waving, and other harsh hair treatments should be avoided. In acquired localized trichorrhexis nodosa, the underlying pruritic dermatosis should be treated to prevent trauma from scratching or rubbing. Underlying metabolic disorders are treated accordingly, usually through the implementation of a specifically tailored diet.

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Prevention

Patients should avoid physical and chemical trauma to the hair shaft. See Pathophysiology.

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