Sharma N L, Sharma R C, Mahajan V K, Sharma R C, Chauhan D, Sharma A K
Department of Dermatology, I.G. Medical College, Shimla, India.
J Dermatol. 2000 Jan;27(1):24-6. doi: 10.1111/j.1346-8138.2000.tb02112.x.
A 14-year-old female presented with the complaints of loss of hair, scalp pruritus, and pain in the abdomen. On careful work-up, she was found to have trichotillomania as well as trichophagia. Investigations also revealed a trichobezoar which completely filled the stomach. Hemogram showed moderate hypochromic anemia. Her detailed psychiatric profile showed a few additional features like obsessive hand washing, knuckle cracking, nose picking and body rocking. Her trichobezoar was removed surgically, and she had an uneventful post-operative recovery. She is being maintained on fluoxetine and is doing well. The role of a multi-disciplinary approach to trichotillomania patients is highlighted.
一名14岁女性因脱发、头皮瘙痒和腹痛前来就诊。经过仔细检查，发现她患有拔毛癖和食毛症。检查还发现一个毛石完全填满了胃。血常规显示中度低色素性贫血。她详细的精神状况还表现出一些其他特征，如强迫性洗手、掰指关节、挖鼻孔和身体摇晃。她的毛石通过手术取出，术后恢复顺利。她一直在服用氟西汀，情况良好。强调了对拔毛癖患者采用多学科方法的作用。
