Hair shaft fracture; Brittle hair; Fragile hair; Hair breakage
Trichorrhexis nodosa is a common hair problem in which thickened or weak points (nodes) along the hair shaft cause your hair to break off easily.
Trichorrhexis nodosa can be an inherited condition.
The condition may be triggered by things such as blow-drying, ironing the hair, over-brushing, perming, or excessive chemical use.
In some cases, trichorrhexis nodosa is caused by an underlying disorder, including very rare ones, such as:
Your hair may break easily or it may appear like it is not growing.
In African Americans, looking at the scalp area using a microscope shows that the hair breaks off at the scalp area before it grows long.
In other people, the problem often appears at the end of a hair shaft in the form of split ends, thinning hair, and hair tips that look white.
The health care provider will examine your hair and scalp. Some of your hairs will be checked under a microscope or with a special magnifier used by skin doctors.
Blood tests may be ordered to check for anemia, thyroid disease, and other conditions.
If you have a disorder that is causing trichorrhexis nodosa, it will be treated if possible.
Your provider may recommend measures to reduce damage to your hair such as:
Improving grooming techniques and avoiding products that damage hair will help correct the problem.
This condition is not dangerous, but may affect a person's self-esteem.
Call your provider if symptoms do not improve with changes in grooming and other home-care measures.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Diseases of the skin appendages. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 33.
Restrepo R, Calonje E. Diseases of the hair. In: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. McKee's Pathology of the Skin. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 22.BACK TO TOP
Review Date: 4/14/2021
Reviewed By: Elika Hoss, MD, Senior Associate Consultant, Mayo Clinic, Scottsdale, AZ. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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