Contents

Search

trichotillomania

Manual extraction of hair. Etiology: - obsessive-compulsive disorder - other psychiatric disorder Epidemiology: - most commonly in children, adolescents & women Clinical manifestations: - frontoparietal area is most commonly affected - hairs of various length may be found * images [4] Management: 1) cognitive behavioral therapy 2) selective serotonin reuptake inhibitors, clomipramine, & behavioral modification (cognitive behavioral therapy) have been used with mixed success 3) N-acetylcysteine 1200-24 mg PO QD 4) referral to psychiatrist or psychologist

General

traumatic alopecia

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 917
  2. Grant JE et al N-acetylcysteine, a glutamate modulator, in the treatment of trichotillomania: A double-blind, placebo-controlled study. Arch Gen Psychiatry 2009 Jul; 66:756. PMID: 19581567
  3. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
  4. Elston DM, James WD (images) Medscape: Trichotillomania http://emedicine.medscape.com/article/1071854-overview
  5. Maraz A, Hende B, Urban R, Demetrovics Z. Pathological grooming: Evidence for a single factor behind trichotillomania, skin picking and nail biting. PLoS One 2017 Sep 13; 12:e0183806 PMID: 28902896 Free PMC Article

Component-of

pathologic grooming