Trichodynia has been defined as discomfort, pain or paresthesia of the scalp related to complaint of hair loss. It is a very common, relatively new and usually under diagnosed entity frequently related with diseases of hair loss. 300 subjects were taken for study, after taking written informed consent, including 100 cases of Telogen Effluvium, Alopecia Areata and control each. First each group was analyzed for the presence of Trichodynia then the patients with Trichodynia were evaluated for anxiety and depression by applying Hamilton Rating Scale for Anxiety (HAMA) and Hamilton Rating Scale for Depression (HAM-D). Trichodynia was found in significantly higher in patients of Telogen Effluvium and Alopecia Areata when compared with control. Trichodynia was significantly higher in Telogen Effluvium group when compared with Alopecia Areata. Anxiety was significantly higher in patients with Telogen Effluvium with Trichodynia and Alopecia Areata with Trichodynia when compared with Telogen Effluvium without Trichodynia and Alopecia Areata without Trichodynia respectively, while no statistically significant difference was found in terms of depression. Trichodynia is a very common problem in patients of Telogen Effluvium and Alopecia Areata and Anxiety is frequently associated with Trichodynia.
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