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loose anagen hair syndrome is characterized by thin and sparse hairs that can be easily extracted upon mild traction. the disorder affects predominantly children. trichogram shows at least 70% of loose anagen hairs devoid of inner and outer hair sheaths, presenting a ruffled cuticle at the proximal portion. although benign and self-limited, the disorder frequently concerns parents and should be further differentiated from telogen effluvium and trichotillomania.