Bhat Rakshita Ramesh, Vellekkat Faheem, Goutama Ivany Lestari, Gill Praneet Singh, Kakar Gauri, Jabeen Hafsa, Gireesh Krishnan, Sanker Vivek, Gupta Umang
Bangalore Medical College and Research Institute Bangalore India.
Team Erevnites Trivandrum India.
Clin Case Rep. 2023 Aug 16;11(8):e7800. doi: 10.1002/ccr3.7800. eCollection 2023 Aug.
Identifying any potential comorbidity such as bulimia nervosa (BN) and ADHD in trichotillomania patients is essential for a thorough treatment plan. Combining a multidisciplinary approach was found to be feasible and effective in the treatment.
Trichotillomania is frequently considered an isolated disorder; nevertheless, emerging evidence suggests that other psychiatric conditions, including obsessive-compulsive disorder (OCD), eating disorders, and attention-deficit/hyperactivity disorder (ADHD), are often found to coexist. Several studies showed that eating disorders, such as bulimia nervosa, were found in chronic hair-pullers, while OCD was considered a factor in predicting the prevalence of eating disorders, as well as the severity of trichotillomania in the populations. While the relationship between trichotillomania and OCD has been quite well-documented, the evidence of its association with bulimia nervosa and ADHD remains limited. Here, we report a case of trichotillomania with comorbid bulimia nervosa, major depressive disorder, and ADHD.
识别拔毛癖患者中任何潜在的合并症，如神经性贪食症（BN）和注意力缺陷多动障碍（ADHD），对于制定全面的治疗计划至关重要。研究发现，采用多学科方法进行治疗是可行且有效的。
拔毛癖常被视为一种孤立的疾病；然而，新出现的证据表明，包括强迫症（OCD）、饮食失调和注意力缺陷多动障碍（ADHD）在内的其他精神疾病，常与拔毛癖共存。多项研究表明，慢性拔毛者中存在饮食失调，如神经性贪食症，而强迫症被认为是预测饮食失调患病率以及人群中拔毛癖严重程度的一个因素。虽然拔毛癖与强迫症之间的关系已有充分记录，但其与神经性贪食症和注意力缺陷多动障碍关联的证据仍然有限。在此，我们报告一例合并神经性贪食症、重度抑郁症和注意力缺陷多动障碍的拔毛癖病例。
