Loose anagen syndrome

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ORPHA:168OMIM:600628L65.1
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Overview

Loose anagen syndrome (LAS) is a rare hair condition where hair does not stay firmly rooted in the scalp. In a healthy scalp, hair goes through a growth cycle and stays anchored during the growing phase. In loose anagen syndrome, the hair shaft is not properly attached inside the hair follicle, so hairs can be pulled out very easily — often without any pain. This happens because the inner root sheath of the hair follicle does not form correctly, leaving the hair root loose and unstable. The condition mainly affects children, especially girls with light-colored or blonde hair, though it can occur in anyone. The most noticeable sign is hair that does not seem to grow very long, looks thin or patchy, and comes out easily when brushed or even just touched. Some children have areas of the scalp where hair is sparse or missing. The hair that does grow often looks dull, limp, or unruly and may not hold a style well. The good news is that loose anagen syndrome is generally not harmful to overall health. It is a cosmetic condition, meaning it affects appearance but not physical wellbeing. Many children see improvement as they get older, especially after puberty. There is no specific drug treatment approved for LAS, but gentle hair care and avoiding harsh styling can help reduce hair loss. A dermatologist or pediatric hair specialist can confirm the diagnosis and offer guidance on managing the condition day to day.

Key symptoms:

Hair that pulls out very easily, often without painHair that seems to grow very slowly or stays shortThin or sparse hair on the scalpPatchy areas where hair is missing or reducedDull, limp, or frizzy-looking hairHair that does not hold a style or looks unrulyHair loss noticed during brushing or washingScalp hair that feels loose when gently tuggedImprovement in hair thickness and anchoring after puberty in many cases

Clinical phenotype terms (3)— hover any for plain English
Abnormal hair whorlHP:0010721
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Childhood

Begins in childhood, roughly ages 1 to 12

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Loose anagen syndrome.

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No actively recruiting trials found for Loose anagen syndrome at this time.

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No specialists are currently listed for Loose anagen syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Loose anagen syndrome.

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Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

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Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How certain are you that my child has loose anagen syndrome, and what tests confirm this?,Should we consider genetic testing, and what would the results mean for our family?,Is there any treatment that could help my child's hair grow more normally right now?,Will my child's hair improve on its own as they get older?,Are there specific hair care products or routines you recommend to reduce hair loss?,Could this condition be a sign of any other underlying health problem?,Where can I find support groups or resources for families dealing with this condition?

Common questions about Loose anagen syndrome

What is Loose anagen syndrome?

Loose anagen syndrome (LAS) is a rare hair condition where hair does not stay firmly rooted in the scalp. In a healthy scalp, hair goes through a growth cycle and stays anchored during the growing phase. In loose anagen syndrome, the hair shaft is not properly attached inside the hair follicle, so hairs can be pulled out very easily — often without any pain. This happens because the inner root sheath of the hair follicle does not form correctly, leaving the hair root loose and unstable. The condition mainly affects children, especially girls with light-colored or blonde hair, though it can oc

How is Loose anagen syndrome inherited?

Loose anagen syndrome follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Loose anagen syndrome typically begin?

Typical onset of Loose anagen syndrome is childhood. Age of onset can vary across affected individuals.