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Case Reports
. 2015 Jan-Mar;7(1):36-7.
doi: 10.4103/0974-7753.153458.

Very early onset trichotillomania presenting with recurrent trichobezoar: conventional wisdom questioned

Vikas Menon  1 , Subahani Shaik  1 , Pazhanivel Mohan  2
Affiliations
Case Reports

Very early onset trichotillomania presenting with recurrent trichobezoar: conventional wisdom questioned

Vikas Menon et al. Int J Trichology. 2015 Jan-Mar.

Abstract

Trichotillomania (TTM), a disorder characterized by compulsive hair pulling, is undergoing a conceptual and nosological re-evaluation. Little long-term information is available about this condition when it strikes in early childhood. Trichobezoar, an ingestional foreign body lodged in the gastrointestinal tract composed of swallowed hair, is usually associated with underlying psychiatric and emotional disturbances. In this report, we describe a young girl who had her symptom onset at the age of 3, but presented again after more than a decade with recurrent symptomatic large trichobezoars needing surgical removal both times. Her clinical course and presentation challenged contemporary understanding of TTM.

Keywords: Ego-dystonic; pediatric; trichobezoar; trichotillomania.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Computed tomography abdomen showing the trichobezoar occupying nearly the whole lumen of the stomach
See this image and copyright information in PMC

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References

    1. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. American Psychiatric Association.
    1. Flessner CA, Lochner C, Stein DJ, Woods DW, Franklin ME, Keuthen NJ. Age of onset of trichotillomania symptoms: Investigating clinical correlates. J Nerv Ment Dis. 2010;198:896–900. - PubMed
    1. Sah DE, Koo J, Price VH. Trichotillomania. Dermatol Ther. 2008;21:13–21. - PubMed
    1. Tay YK, Levy ML, Metry DW. Trichotillomania in childhood: Case series and review. Pediatrics. 2004;113:e494–8. - PubMed
    1. Rothbaum BO, Shaw L, Morris R, Ninan PT. Prevalence of trichotillomania in a college freshman population. J Clin Psychiatry. 1993;54:72–3. - PubMed

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