{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T22:03:16Z","timestamp":1780696996965,"version":"3.54.1"},"reference-count":8,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,3,1]]},"abstract":"<jats:p>Increased hair loss a few months after delivering an infant is a common postpartum condition known as telogen effluvium. A much less common condition involving young infants is the hair-thread tourniquet syndrome, or toe tourniquet syndrome, which involves hair or thread becoming so tightly wrapped around an appendage that pain, injury, and sometimes loss of the appendage result. This case report is the first known description of the hair-thread tourniquet syndrome in association with maternal telogen effluvium. A literature review shows that accidental cases involving human hair almost always involve the toes, and usually occur at the age when mothers are experiencing excessive hair loss. This association is significant in that anticipatory guidance of new parents experiencing rapid hair loss may prevent cases of the toe tourniquet syndrome and its associated morbidity.<\/jats:p>","DOI":"10.1542\/peds.111.3.685","type":"journal-article","created":{"date-parts":[[2004,8,14]],"date-time":"2004-08-14T00:43:47Z","timestamp":1092444227000},"page":"685-687","source":"Crossref","is-referenced-by-count":44,"title":["Toe Tourniquet Syndrome in Association With Maternal Hair Loss"],"prefix":"10.1542","volume":"111","author":[{"given":"R. Scott","family":"Strahlman","sequence":"first","affiliation":[{"name":"Department of Pediatrics&#x2028; Patuxent Medical Group&#x2028; Columbia, MD 21045&#x2028; Department of Pediatrics&#x2028; Johns Hopkins Hospital&#x2028; Baltimore, MD 21205"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2003,3,1]]},"reference":[{"key":"2021120919025636500_R1","doi-asserted-by":"crossref","unstructured":"Lynfield YL. Effect of pregnancy on the human hair cycle. J Invest Dermatol.1960;35:323\u2013327","DOI":"10.1038\/jid.1960.127"},{"key":"2021120919025636500_R2","doi-asserted-by":"crossref","unstructured":"Headington JT. Telogen effluvium. New concepts and review. Arch Dermatol.1993;129:356\u2013363","DOI":"10.1001\/archderm.129.3.356"},{"key":"2021120919025636500_R3","doi-asserted-by":"crossref","unstructured":"Schiff BL, Kern AB. Study of postpartum alopecia. Arch Dermatol.1963;87:609\u2013611","DOI":"10.1001\/archderm.1963.01590170067011"},{"key":"2021120919025636500_R4","doi-asserted-by":"crossref","unstructured":"Wang M, Schott J, Tunnessen WW. Picture of the month. Arch Pediatr Adolesc Med.2001;155:515\u2013516","DOI":"10.1001\/archpedi.155.4.515"},{"key":"2021120919025636500_R5","unstructured":"Barton DJ, Sloan GM, Nichter LS, Reinisch JF. Hair-thread tourniquet syndrome. Pediatrics.1988;82:925\u2013928"},{"key":"2021120919025636500_R6","doi-asserted-by":"crossref","unstructured":"Trocinsky DR, Pearigen PD. The crying infant. Emerg Med Clin North Am.1998;16:895\u2013910","DOI":"10.1016\/S0733-8627(05)70038-9"},{"key":"2021120919025636500_R7","doi-asserted-by":"crossref","unstructured":"Douglas DD. Dissolving hair wrapped around an infant\u2019s digit. J Pediatr.1977;91:162","DOI":"10.1016\/S0022-3476(77)80478-2"},{"key":"2021120919025636500_R8","doi-asserted-by":"crossref","unstructured":"Quinn NJ Jr. Toe tourniquet syndrome. Pediatrics.1971;48:145\u2013146","DOI":"10.1542\/peds.48.1.145"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/111\/3\/685\/1002987\/pe0303000685.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/111\/3\/685\/1002987\/pe0303000685.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T05:44:25Z","timestamp":1682747065000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/111\/3\/685\/79841\/Toe-Tourniquet-Syndrome-in-Association-With"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,3,1]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2003,3,1]]},"published-print":{"date-parts":[[2003,3,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.111.3.685","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,3,1]]}}}