Reichart P, Köster J
Dtsch Zahnarztl Z. 1978 Jan;33(1):93-5.
A case of factitial gingival traumatism and trichotillomania in a hysteric 28-year-old female patient is reported. During a period of 31 months the patient presented with gingival necrosis which involved the lingual aspects of all four quadrants respectively. A wide range of diagnostical aids failed to enlighten the nature of the lesions until the patient developed an alopecia capitis which was typical for hysteric trichotillomania. The diagnostical and therapeutical aspects of selfmutilation in hysteria are discussed.
报告了一例28岁癔症女性患者的人为性牙龈创伤和拔毛癖。在31个月的时间里，患者出现牙龈坏死，分别累及所有四个象限的舌侧。在患者出现典型的癔症性拔毛癖导致的斑秃之前，多种诊断辅助手段均未能明确病变的性质。本文讨论了癔症中自我伤害行为的诊断和治疗方面。
