Nuss Michelle A, Carlisle David, Hall Mary, Yerneni Srinivas C, Kovach Rodney
Department of Medicine, West Virginia University School of Medicine, One Medical Center Dr, PO Box 9160, Morgantown, WV 26506, USA.
Cutis. 2003 Sep;72(3):191-6.
Although patients with trichotillomania typically present to dermatologists, the diagnosis and treatment lie in the field of psychiatry. We report an unusual case of a 33-year-old woman with severe trichotillomania. We review common clinical and pathologic findings of this often chronic and socially debilitating disorder. In addition, we discuss treatment options for dermatologists and how collaboration with psychiatrists is the most effective management for these difficult-to-treat patients.
尽管拔毛癖患者通常会去看皮肤科医生，但诊断和治疗属于精神病学领域。我们报告了一例33岁重度拔毛癖女性的罕见病例。我们回顾了这种常为慢性且会导致社交障碍的疾病的常见临床和病理表现。此外，我们还讨论了皮肤科医生的治疗选择，以及与精神科医生合作如何成为治疗这些难治性患者的最有效管理方式。
