{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:29:21Z","timestamp":1786739361497,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T00:00:00Z","timestamp":1760227200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:p>Sudden excessive hair loss poses a diagnostic challenge when encountered in an otherwise healthy individual. We present a case study of a middle-aged female who presented with unexplained and sudden hair loss. After initial consideration of common causes of sudden hair loss, a dispensing error involving azathioprine was identified as the underlying cause. This case underscores the need for further research to elucidate the specific pathways through which azathioprine induces selective damage to the dermal papillae of the hair follicle. This case also emphasizes the importance of meticulous medication management and pharmacovigilance in clinical practice.<\/jats:p>","DOI":"10.4103\/ijp.ijp_919_24","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T10:00:13Z","timestamp":1762941613000},"page":"414-416","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Follicle fiasco \u2013 Unraveling the cause of sudden hair loss!"],"prefix":"10.4103","volume":"57","author":[{"given":"Sanyam","family":"Mehta","sequence":"first","affiliation":[{"name":"Department of Dermatology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kailash","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaitanya","family":"Namdeo","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavin","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,12]]},"reference":[{"key":"R1-20251112","doi-asserted-by":"crossref","first-page":"604","DOI":"10.4103\/0378-6323.116728","article-title":"Anagen effluvium","volume":"79","author":"Kanwar","year":"2013","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R2-20251112","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1001\/archderm.1993.01680240096017","article-title":"Telogen effluvium. New concepts and review","volume":"129","author":"Headington","year":"1993","journal-title":"Arch Dermatol"},{"key":"R3-20251112","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s43440-020-00158-3","article-title":"Pharmacogenetic determinants of thiopurines in an Indian cohort","volume":"73","author":"Naushad","year":"2021","journal-title":"Pharmacol Rep"},{"key":"R4-20251112","doi-asserted-by":"crossref","first-page":"322","DOI":"10.4103\/0378-6323.174411","article-title":"Azathioprine-associated anagen effluvium","volume":"82","author":"Sonthalia","year":"2016","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R5-20251112","doi-asserted-by":"crossref","first-page":"2210","DOI":"10.1007\/s11606-019-05236-8","article-title":"Effect of electronic prescribing strategies on medication error and harm in hospital:A systematic review and meta-analysis","volume":"34","author":"Roumeliotis","year":"2019","journal-title":"J Gen Intern Med"}],"container-title":["Indian Journal of Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijp.ijp_919_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:28:21Z","timestamp":1786735701000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijp.ijp_919_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,12]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijp.ijp_919_24","relation":{},"ISSN":["0253-7613","1998-3751"],"issn-type":[{"value":"0253-7613","type":"print"},{"value":"1998-3751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,12]]},"assertion":[{"value":"2024-11-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}