The patient is an eight year old girl who has had a dermatitis of her eyelid margins off an on for around a year. She gets crusted areas which itch and her mother feels she plucks her eyelashes. On the day of the visit the lids looked quiet, but there was definite loss of some eyelashes. There is some evidence of broken lashes.
Question:
Is this eyelash trichotillomania or isolated alopecia areata of the eyelashes? I favor trichotillomania
What is the prognosis for spontaneous recovery?
My plan is to see her if and when the dermatitis is more acute and obtain a culture to see if she has a bacterial blepharitis.
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