RT Book, Section A1 Mayeaux, Jr., E.J. A1 Bucher, Jacqueline A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164362669 T1 Traction Alopecia and Trichotillomania T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164362669 RD 2024/03/28 AB A 38-year-old woman was found to have hair thinning on the anterior scalp. She had long, thick, heavy hair that she always styled in a bun on the top of her head. She was concerned about the slow, steady loss of hair that she was experiencing. Figure 196-1 shows the appearance of the thinned hair as a result of chronic traction. A 4-mm punch biopsy was performed to confirm the clinical impression, and the histology was supportive of this diagnosis.