João Ana Luísa, Cunha Nélia, Pessoa E Costa Tomás, Lencastre André
Dermatology Department, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Skin Appendage Disord. 2020 Jun;6(3):168-170. doi: 10.1159/000506602. Epub 2020 Mar 10.
Trichoteiromania is a self-inflicted traumatic hair injury, with breaking of the hair shafts resulting from repetitive rubbing of the scalp. We describe a patient with trichoteiromania presenting with one lichenified pruriginous plaque on the scalp, associated with fracture and loss of hair shafts giving the conspicuous appearance of monotonous clusters of broom hairs under trichoscopy, which pointed to the diagnosis. As trichoteiromania can be considered a psychodermatological condition, patient education and a behavioral approach are of paramount importance in the management and prognosis of this disorder.
拔毛癖是一种自我造成的创伤性毛发损伤,由于反复摩擦头皮导致毛干断裂。我们描述了一名患有拔毛癖的患者,其头皮上有一个苔藓化的瘙痒斑块,伴有毛干断裂和脱落,在皮肤镜检查下呈现出明显的单调成簇的扫帚状毛发外观,这有助于明确诊断。由于拔毛癖可被视为一种心理皮肤病学病症,患者教育和行为疗法在该疾病的管理和预后中至关重要。