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Review
. 2021 Jan;34(1):e13466.
doi: 10.1111/dth.14366. Epub 2020 Oct 15.

Hair-pulling disorder (Trichotillomania): Etiopathogenesis, diagnosis and treatment in a nutshell

Affiliations
Review

Hair-pulling disorder (Trichotillomania): Etiopathogenesis, diagnosis and treatment in a nutshell

Julio Torales et al. Dermatol Ther. 2021 Jan.

Abstract

Hair-pulling disorder (Trichotillomania) is a disabling mental disorder. Patient's behavior is characterized by the recurrent pulling of own hair with hair loss and a marked dysfunction in various areas of daily life. Trichotillomania is a relatively common disorder with pediatric onset, often associated with significant morbidity, comorbidity, and functional decline. Surprisingly, children or adolescents have been little studied in the research studies on the pathophysiology and psychopathology of trichotillomania. Furthermore, more evidences regarding the effective and evidence-based pharmacological interventions for the treatment of this condition are encouraged. This narrative review will report on the etiopathogenesis and clinical manifestations of trichotillomania including criteria for diagnosis and treatment issues of this complex mental disorder.

Keywords: adolescents; children; diagnosis; hair-pulling disorder; pathophysiology; treatment; trichotillomania.

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References

REFERENCES

    1. Torales J, Bolla L, di Martino B, González L, Riego V, Ruiz Díaz C. TTM: concept, epidemiology, Etiopathogenesis and clinical aspects. In: Torales J, Viola L, Arce A, eds. Essential guide on pediatric trichotillomania. Asunción: EFACIM; 2014:14-18.
    1. Salaam K, Carr J, Grewal H, Sholevar E, Baron D. Untreated trichotillomania and tricophagia: surgical emergency in a teenage girl. Psychosomatics. 2005;46:362-366. https://doi.org/10.1176/appi.psy.46.4.362.
    1. Grant JE, Chamberlain SR. Trichotillomania. Am J Psychiatry. 2016;173(9):868-874. https://doi.org/10.1176/appi.ajp.2016.15111432.
    1. Franklin ME, Zagrabbe K, Benavides KL. Trichotillomania and its treatment: a review and recommendations. Expert Rev Neurother. 2011;11(8):1165-1174. https://doi.org/10.1586/ern.11.93.
    1. Torales J, Di Martino Ortiz B. A brief update on trichotillomania. Our Dermatol Online. 2016;7(4):465-471.

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