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PEDIATRICS Vol. 111 No. 3 March 2003, pp. 685-687

EXPERIENCE AND REASON

Toe Tourniquet Syndrome in Association With Maternal Hair Loss

R. Scott Strahlman, MD

Department of Pediatrics
Patuxent Medical Group
Columbia, MD 21045
Department of Pediatrics
Johns Hopkins Hospital
Baltimore, MD 21205

--> Increased hair loss a few months after delivering an infant is a common postpartum condition known as telogen effluvium. A much less common condition involving young infants is the hair-thread tourniquet syndrome, or toe tourniquet syndrome, which involves hair or thread becoming so tightly wrapped around an appendage that pain, injury, and sometimes loss of the appendage result. This case report is the first known description of the hair-thread tourniquet syndrome in association with maternal telogen effluvium. A literature review shows that accidental cases involving human hair almost always involve the toes, and usually occur at the age when mothers are experiencing excessive hair loss. This association is significant in that anticipatory guidance of new parents experiencing rapid hair loss may prevent cases of the toe tourniquet syndrome and its associated morbidity.

Key Words: hair-thread tourniquet syndrome • toe tourniquet syndrome • telogen effluvium • hair • appendage

Received for publication Mar 26, 2002; Accepted Sep 3, 2002.




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