Madarosis
Madarosis
Madarosis can be partial or complete.
It may affect only eyelashes, only eyebrows, or both.
It is a sign, not a disease itself — meaning it usually indicates an underlying condition.
๐งพ Causes of Madarosis
Madarosis can be due to various causes, broadly classified into:
1. Dermatological Conditions
- Alopecia areata
- Atopic dermatitis
- Psoriasis
- Seborrheic dermatitis
2. Infections
- Leprosy
- Syphilis
- Fungal infections
- Herpes zoster
3. Systemic Diseases
- Hypothyroidism (most common systemic cause)
- Hyperthyroidism
- Iron deficiency anemia
- Systemic lupus erythematosus (SLE)
4. Trauma / Mechanical
- Excessive plucking
- Trichotillomania (compulsive hair pulling)
- Burns
- Tattooing or cosmetic overuse
5. Medications / Chemotherapy
- Chemotherapy drugs
- Radiotherapy
- Anti-glaucoma medications (like prostaglandin analogs)
6. Nutritional Deficiencies
- Protein deficiency
- Zinc, biotin, or essential fatty acid deficience
7. Tumors
- Basal cell carcinoma involving eyelid margin
๐งช Diagnosis
- Clinical examination
- Blood tests (especially thyroid profile, iron studies)
- Skin biopsy (if skin disease suspected)
- Trichoscopy (examination of hair under magnification)
๐ Treatment
Depends on the underlying cause.
May include:
- Treatment of thyroid or other systemic conditions
- Topical or systemic antibiotics/antifungals
- Nutritional supplements
- Avoiding irritants/cosmetics
- Psychiatric help for trichotillomania
- Cosmetic solutions like eyebrow tattoos or prosthetics
๐️๐จ️ Key Point
Madarosis is not a disease, but a sign of another problem — proper evaluation is necessary to find and treat the root cause.
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