Problem of pulling your hair out
In children under five, as in this case, hair pulling is usually self-limiting and not a cause for concern.
The underlying scalp is healthy. There is no redness or scaling. The hairs may be broken at different levels but the hair pull test is negative.
An early differential diagnosis is alopecia areata but in that case the hair pull test would be positive at the edges with a hair bulb seen at the proximal end.
Children of this age may hair pull as a pre-sleeping ritual in the same manner as thumb sucking.
So long as they are not eating the hair it is best to just ignore it and the phase will pass!
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