Menon Vikas, Shaik Subahani, Mohan Pazhanivel
Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Department of Medical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Int J Trichology. 2015 Jan-Mar;7(1):36-7. doi: 10.4103/0974-7753.153458.
Trichotillomania (TTM), a disorder characterized by compulsive hair pulling, is undergoing a conceptual and nosological re-evaluation. Little long-term information is available about this condition when it strikes in early childhood. Trichobezoar, an ingestional foreign body lodged in the gastrointestinal tract composed of swallowed hair, is usually associated with underlying psychiatric and emotional disturbances. In this report, we describe a young girl who had her symptom onset at the age of 3, but presented again after more than a decade with recurrent symptomatic large trichobezoars needing surgical removal both times. Her clinical course and presentation challenged contemporary understanding of TTM.
拔毛癖（TTM）是一种以强迫性拔毛为特征的疾病，正在经历概念和分类学的重新评估。关于这种疾病在幼儿期发病的长期信息很少。毛发石是一种滞留在胃肠道的摄入性异物，由吞咽的毛发组成，通常与潜在的精神和情绪障碍有关。在本报告中，我们描述了一名3岁起病的年轻女孩，但十多年后再次出现症状，两次均有复发性有症状的大毛发石需要手术切除。她的临床病程和表现挑战了当代对拔毛癖的认识。
