Hair pulling is a neuroimmunological condition

TRICHOTILLOMANIA (or hair pulling) is a condition characterised by excessive grooming and strong, repeated urges pull out one’s own hair. It is classified as an obsessive-compulsive disorder (OCD), and is relatively common, affecting about 2 in 100 people. Sufferers normally feel an increasing sense of tension before pulling out their scalp hair, facial hair, and even pubic hair, eyelashes or eyebrows. This provides gratification, but only briefly.

Hair pulling is usually thought of as being psychological in origin, but an intruiging new study now suggests that it occurs as a result of defects in the immune system. The study, which is published in the journal Neuron, shows that excessive grooming and hair pulling occur in mice because of reduced numbers of microglial cells, which are critical  for the brain’s immune response. It also suggests – very unexpectedly – that bone marrow transplants may be an effective treatment for trichotillomania in humans.

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