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insect bite alopecia

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Insect bites

Tick bites have been reported as causing patches of hair loss that could potentially be confused with alopecia areata (Heyl 1982, Marshall 1966). The mild inflammatory response to the tick bite inadvertently affects hair follicles in the immediate vicinity and stops hair fiber production. The hair loss is temporary and regrows when the inflammation subsides.Diffuse alopecia after bee stings has also been reported (Sharma 1997).

There are now three reports of ants causing a focal alopecia that might be confused with alopecia areata (Radmanesh 1999; Shamsadini 2003; Mortazavi 2004). Here, the issue is not so much an inflmamatory reaction as occurs with skin bites and bee stings, but rather ants that get into the hair can chew off the hair fibers. What is left is a patch of very short stubble. Why the ants cut the hair fiber is not clear, but they might be collecting the hair as nesting material.


Insect bite references

  • Heyl T. Tick bite alopecia. Clin Exp Dermatol. 1982 Sep;7(5):537-42.
  • Marshall J. Alopecia after tick bite. S Afr Med J. 1966 Jul 2;40(24):555-6.
  • Sharma AK, Sharma RC, Sharma NL. Diffuse hair loss following multiple honeybee stings. Dermatology. 1997;195(3):305.
  • Radmanesh M, Mousavipour M. Alopecia induced by ants. Trans R Soc Trop Med Hyg. 1999 Jul-Aug;93(4):427.
  • Shamsadini S. Localized scalp hair shedding caused by Pheidole ants. Dermatol Online J. 2003 9(3):12.
  • Mortazavi M, Mansouri P. Ant-induced alopecia: Report of 2 cases and review of the literature. Dermatol Online Journal. 2004 10(1):19.

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