Dermatology Book

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Hair Pull Test

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  1. Indications
    1. Alopecia
  2. Preparation
    1. Do not shampoo hair 24 hours before test
  3. Technique
    1. Grasp small clump (60 hairs) in index, middle and thumb
    2. Pull hairs gently but with firm pressure
  4. Interpretation: Count hairs shed with maneuver
    1. Normal shedding: 6 or fewer hairs shed
    2. Active shedding: More than 6 hairs shed
  5. References
    1. Shapiro (2000) Can Fam Physician 46:1469

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