Department of Psychiatry, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Bipolar Disord. 2024 Mar;26(2):196-199. doi: 10.1111/bdi.13371. Epub 2023 Aug 2.
Trichotillomania (TTM) is an intractable and chronic mental disorder that causes significant distress or functional impairments in various life domains. Most individuals with trichotillomania have other comorbid diagnoses. Bipolar disorder (BD) is one of the most common comorbid conditions. Up to date, no FDA-approved drugs for TTM are available, not to mention children and adolescent patients with TTM and BD. Here, we present a case of an 8-year-old child with a long history of episodic TTM and bipolar disorder who was effectively treated with topiramate in a 3-year follow-up.
拔毛癖（TTM）是一种难以治愈和慢性的精神障碍，会导致患者在各个生活领域产生显著的痛苦或功能障碍。大多数患有 TTM 的个体都有其他合并症诊断。双相情感障碍（BD）是最常见的合并症之一。迄今为止，尚无经 FDA 批准的 TTM 药物，更不用说患有 TTM 和 BD 的儿童和青少年患者了。在这里，我们报告了一例 8 岁儿童，该患者有长期的间歇性 TTM 和双相情感障碍病史，在 3 年的随访中，托吡酯治疗对其有效。
