Butt Nazish, Rai Lajpat, Mohiuddin Ghulam
Nazish Butt Associate Professor, Head of Gastroenterology Department, Jinnah Postgraduate Medical Center, Karachi, Pakistan.
Lajpat Rai Consultant Gastroenterologist, Jinnah Postgraduate Medical Center, Karachi, Pakistan.
Pak J Med Sci. 2025 Jun;41(6):1854-1856. doi: 10.12669/pjms.41.6.11387.
Trichotillomania is a psychiatric disorder in which one is urged to pull hairs and eyelashes out and one is urged to eat these pulled-out hairs, resulting in Rapunzel syndrome (a rare disorder where gastric trichobezoars traverse into the small intestine and can lead to intestinal obstruction). Here we present two case reports. In the First case, a 17 years old boy presented with a history of recurrent pancreatitis and microcytic anemia, while the other patient was a 16 years old female presenting with complaints of epigastric pain and non-projectile, foul-smelling vomiting associated with a low-grade fever. Both had a history of depression and compulsive hair-pulling and eating. After successful surgical management, both patients were eventually referred to Psychiatry.
拔毛癖是一种精神疾病，患者会忍不住拔头发和睫毛，并吃掉这些拔下来的毛发，从而导致长发公主综合征（一种罕见的疾病，胃内毛发石进入小肠并可能导致肠梗阻）。在此我们呈现两例病例报告。第一例中，一名17岁男孩有复发性胰腺炎和小细胞贫血病史，另一例患者是一名16岁女性，主诉上腹部疼痛，伴有非喷射性、有臭味的呕吐及低热。两人均有抑郁及强迫性拔毛和食毛病史。经过成功的手术治疗后，两名患者最终都被转诊至精神科。
