Subgaleal Hematoma Due to Hair Pulling: Review of the Literature
Abstract
Aim
To identify all cases of subgaleal hematoma (SGH) as a result of non‐abusive hair straightening or pulling without evidence of blunt trauma or coagulopathy.
Methods
We conducted a search in the English‐language literature of all cases of SGH in children. We excluded those in neonates, those in which the child was abused by a caregiver, those in which blunt trauma was not excluded, and those in which a coagulopathy or other blood dyscrasia was found.
Results
16 cases were identified in children from a range of ages. Time to presentation ranged from several days to a week and a half. In most cases, management is conservative, though SGH can cause fever, symptomatic anemia and can threaten vision.
Conclusion
SGH can occur in otherwise healthy children, can accumulate slowly, can result in sequelae. However, most cases of SGH are managed conservatively.
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