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Trichotillomania with trichobezoars – A case report

BACKGROUND: Trichotillomania or hair-pulling disorder, is a common but under diagnosed psychological disorder, classified under obsessive-compulsive and related disorders in DSM-5.It is characterized by recurrent body focused repetitive behavior (hair-pulling) and repeated attempts to decrease or st...

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Autores principales: Aiswarya, Bonthu Nitya, Pavani, A., Hemanth Madhav, G., Narasimha Reddi, K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129524/
http://dx.doi.org/10.4103/0019-5545.341988
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author Aiswarya, Bonthu Nitya
Pavani, A.
Hemanth Madhav, G.
Narasimha Reddi, K.
author_facet Aiswarya, Bonthu Nitya
Pavani, A.
Hemanth Madhav, G.
Narasimha Reddi, K.
author_sort Aiswarya, Bonthu Nitya
collection PubMed
description BACKGROUND: Trichotillomania or hair-pulling disorder, is a common but under diagnosed psychological disorder, classified under obsessive-compulsive and related disorders in DSM-5.It is characterized by recurrent body focused repetitive behavior (hair-pulling) and repeated attempts to decrease or stop the behavior. The behavior can occur during both relaxed and stressful times, but there is often a mounting sense of tension before hair pulling occurs or when attempts are made to resist the behavior. Less than 10% of those with Trichotillomania develop Trichophasia and it results in Trichobezoar formation. AIMS: To report and discuss a rare case of Trichotillomania with trichobezoars in young female patient. METHODS: Clinical diagnosis as per DSM-5 and necessary investigations were done. RESULTS: A 20 year old female patient was referred from the department of Dermatology. On evaluation she was found to be having classical features of Trichotillomania and Trichophasia with Alcohol abuse. Significant history of physical abuse and conflicts with husband present. X-ray abdomen revealed Trichobezoars in the stomach. Patient was treated with T.Fluoxetine 80mg per day. Reassurance was given and advised Habit reversal technique. Follow up after 30 days showed improvement in her symptoms. CONCLUSION: Trichotillomania is a rare, chronic, and relapsing disorder, with onset in the early teenaged years. It is a disorder that may have significant medical and psychiatric implications. A treatment algorithm bridging the pharmacological and behavioral therapy must be established in order to counteract and approach such cases effectively.
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spelling pubmed-91295242022-05-25 Trichotillomania with trichobezoars – A case report Aiswarya, Bonthu Nitya Pavani, A. Hemanth Madhav, G. Narasimha Reddi, K. Indian J Psychiatry Abstract- Poster BACKGROUND: Trichotillomania or hair-pulling disorder, is a common but under diagnosed psychological disorder, classified under obsessive-compulsive and related disorders in DSM-5.It is characterized by recurrent body focused repetitive behavior (hair-pulling) and repeated attempts to decrease or stop the behavior. The behavior can occur during both relaxed and stressful times, but there is often a mounting sense of tension before hair pulling occurs or when attempts are made to resist the behavior. Less than 10% of those with Trichotillomania develop Trichophasia and it results in Trichobezoar formation. AIMS: To report and discuss a rare case of Trichotillomania with trichobezoars in young female patient. METHODS: Clinical diagnosis as per DSM-5 and necessary investigations were done. RESULTS: A 20 year old female patient was referred from the department of Dermatology. On evaluation she was found to be having classical features of Trichotillomania and Trichophasia with Alcohol abuse. Significant history of physical abuse and conflicts with husband present. X-ray abdomen revealed Trichobezoars in the stomach. Patient was treated with T.Fluoxetine 80mg per day. Reassurance was given and advised Habit reversal technique. Follow up after 30 days showed improvement in her symptoms. CONCLUSION: Trichotillomania is a rare, chronic, and relapsing disorder, with onset in the early teenaged years. It is a disorder that may have significant medical and psychiatric implications. A treatment algorithm bridging the pharmacological and behavioral therapy must be established in order to counteract and approach such cases effectively. Wolters Kluwer - Medknow 2022-03 2022-03-24 /pmc/articles/PMC9129524/ http://dx.doi.org/10.4103/0019-5545.341988 Text en Copyright: © 2022 Indian Journal of Psychiatry https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Abstract- Poster
Aiswarya, Bonthu Nitya
Pavani, A.
Hemanth Madhav, G.
Narasimha Reddi, K.
Trichotillomania with trichobezoars – A case report
title Trichotillomania with trichobezoars – A case report
title_full Trichotillomania with trichobezoars – A case report
title_fullStr Trichotillomania with trichobezoars – A case report
title_full_unstemmed Trichotillomania with trichobezoars – A case report
title_short Trichotillomania with trichobezoars – A case report
title_sort trichotillomania with trichobezoars – a case report
topic Abstract- Poster
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129524/
http://dx.doi.org/10.4103/0019-5545.341988
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