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    1202 results match your criteria Trichotillomania

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    Trichotillomania: a case report with clinical and dermatoscopic differential diagnosis with alopecia areata.
    An Bras Dermatol 2017 Jan-Feb;92(1):118-120
    Department of Dermatology of the Instituto Lauro de Souza Lima (ILSL) - Bauru (SP), Brazil.
    Trichotillomania is a psychodermatologic disorder characterized by uncontrollable urge to pull one's own hair. Differential diagnoses include the most common forms of alopecia such as alopecia areata. It is usually associated with depression and obsessive-compulsive disorder. Read More

    [Psychosomatic disorders of the scalp].
    Hautarzt 2017 Feb 17. Epub 2017 Feb 17.
    Vivantes Netzwerk für Gesundheit GmbH, Klinik für Dermatologie und Allergologie, Immunonkologisches Zentrum, Schwerpunkt Männermedizin, Vivantes Klinikum Spandau, Akademisches Lehrkrankenhaus, Charité - Universitätsmedizin Berlin, Neue Bergstr. 6, 13585, Berlin, Deutschland.
    Psychosomatic disorders of the scalp have some special characteristics due to the visibility, possible stigmatization, and amount/patterns of hair. Of practical relevance is trichotillomania, which is now classified as an obsessive-compulsive disorder (OCD). Patients who are obsessed with normal physiological hair loss represent a further psychodermatological challenge. Read More

    Alternative Therapies for Excoriation (Skin Picking) Disorder: A Brief Update.
    Adv Mind Body Med 2017 Winter;31(1):10-13
    Context • Excoriation (skin picking) disorder is characterized by the need or urge to pick, scratch, pinch, touch, rub, scrub, squeeze, bite, or dig the skin, and it can be a perplexing condition for the inexperienced physician. Treatments include pharmacotherapy, psychotherapy, and alternative therapies. Alternative therapies for excoriation disorder and other body-focused repetitive behaviors include yoga, aerobic exercise, acupuncture, biofeedback, hypnosis, and inositol and N-acetylcysteine, among others. Read More

    Pulling your hair out in geriatric psychiatry: a case report.
    Int Psychogeriatr 2017 Apr 1;29(4):691-694. Epub 2017 Feb 1.
    Department of Psychiatry & Behavioral Neuroscience,University of Chicago,Pritzker School of Medicine,Chicago,Illinois,USA.
    Trichotillomania is a relatively understudied psychiatric disorder. Even less is known about this disorder in the elderly. We describe an unusual case of an elderly woman presenting for the first time with trichotillomania at age 70 and highlight the treatment complexities we encountered. Read More

    Behavioral Changes Associated with a Disruptive New Student in the Classroom.
    J Dev Behav Pediatr 2017 Feb/Mar;38 Suppl 1:S38-S40
    *Department of Pediatrics, University of California, San Francisco, CA; †Division of General Pediatrics, Child Development and Community Pediatrics, Department of Pediatrics, University of California, San Diego, San Diego, CA; ‡Preuss/UCSD Charter School, San Diego, CA.
    Case: Marcus is a 10-year-old boy who was followed by his pediatrician for several years. She knows him as a socially engaged, active athlete, playing soccer and baseball, out-going, and a good student. He has been in good health without a significant medical history. Read More

    Increased Trichotillomania Symptoms in a Child With Fluoxetine Treatment.
    Clin Neuropharmacol 2017 Mar/Apr;40(2):95-96
    *Child and Adolescent Psycihatry Department, Düzce University Medical Faculty, Düzce; and †Child and Adolescent Psycihatry Department, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey.
    Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Read More

    Endoscopic retrieval of gastric trichophytobezoar: Case report of a 12-year-old girl with trichophagia.
    Medicine (Baltimore) 2017 Jan;96(3):e5969
    aDepartment of Pediatrics, Tianjin Nankai Hospital bNankai Clinical School, Tianjin Medical University cDepartment of Endoscopy, Tianjin Nankai Hospital, Nankai, Tianjin, China.
    Rationale: Trichophytobezoars, which are composed of hair and plant fibers, are usually located in the stomach. They are often associated with trichophagia and trichotillomania. The most commonly reported methods of trichophytobezoar treatment are open surgery and laparoscopic retrieval; there are few reports of endoscopic removal of trichophytobezoars. Read More

    Trichoscopic clues for diagnosis of alopecia areata and trichotillomania in Asians.
    Int J Dermatol 2017 Feb;56(2):161-165
    Division of Dermatology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
    Background: Trichoscopy has become a useful diagnostic tool for various hair and scalp diseases, including alopecia areata (AA) and trichotillomania (TTM), which are sometimes difficult to distinguish clinically.

    Objectives: To describe trichoscopic findings of AA and TTM in an Asian population and to establish diagnostic clues for these conditions.

    Methods: Trichoscopy was performed with a handheld dermoscope in 52 patients diagnosed with AA and 23 patients diagnosed with TTM. Read More

    Preliminary Randomized Controlled Trial of Habit Reversal Training for Treatment of Hair Pulling in Youth.
    J Child Adolesc Psychopharmacol 2017 Mar 22;27(2):132-139. Epub 2016 Dec 22.
    1 Department of Pediatrics, University of South Florida , Tampa, Florida.
    Objectives: This study evaluated the treatment efficacy of habit reversal training (HRT) relative to treatment as usual (TAU) for children and adolescents aged 7-17 years with a primary diagnosis of trichotillomania (TTM).

    Method: An initial assessment consisting of semistructured interviews and rating scales was conducted. Participants (N = 40, 85% female) meeting diagnostic criteria for TTM were randomized to either 8 weekly sessions of HRT by trained therapists or 8 weeks of TAU. Read More

    Impulse control disorder, lysosomal malfunction and ATP13A2 insufficiency in Parkinsonism.
    Clin Exp Pharmacol Physiol 2017 Feb;44(2):172-179
    School of Medicine, Institute of Ageing Research, Hangzhou Normal University, Hangzhou, Zhejiang Province, China.
    Lysosomal transport of cargos in neurons is essential for neuronal proteostasis, transmission and functional motors and behaviours. Lysosomal malfunction including storage disorders is involved in the pathogenesis of Parkinson's disease (PD). Given the unclear molecular mechanisms of diverse defects in PD phenotypes, especially behavioural deficits, this mini review explores the cellular contexts of PD impulse control disorders and the molecular aspects of lysosomal cross-membrane transports. Read More

    Trichotillomania in Celiac Disease.
    Case Rep Gastroenterol 2016 Sep-Dec;10(3):613-616. Epub 2016 Oct 18.
    KSA-Madina Almownwara, Tiabah University, Madinah, Saudi Arabia.
    Trichotillomania is an underreported and underdiagnosed condition associated with significant impairments in social and functional relationships. The connection between celiac disease and trichotillomania is not yet established clearly. Only a few cases of trichotillomania have been reported to date. Read More

    Predictors of comorbid obsessive-compulsive disorder and skin-picking disorder in trichotillomania.
    Ann Clin Psychiatry 2016 Nov;28(4):280-288
    Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA USA. E-mail:
    Background: Trichotillomania (TTM), obsessive-compulsive disorder (OCD), and skin-picking disorder (SPD) frequently occur together and share overlapping phenomenology, pathophysiology, and possible genetic underpinnings. This study sought to identify factors that predict OCD and SPD in hair pullers.

    Methods: Five hundred fifty-five adult female hair pullers were recruited from specialty clinics and assessed using standardized, semi-structured interviews and self-reports. Read More

    Trichoscopy of Focal Alopecia in Children - New Trichoscopic Findings: Hair Bulbs Arranged Radially along Hair-Bearing Margins in Aplasia Cutis Congenita.
    Skin Appendage Disord 2016 Sep 30;2(1-2):1-6. Epub 2016 Apr 30.
    Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.
    Purpose: To establish whether trichoscopy can be useful in the differential diagnosis of patchy alopecia in children.

    Procedures: The study was a retrospective analysis (2012-2015) and included 68 patients under 6 years of age. The inclusion criteria were age and the presence of 1-3 alopecia patches. Read More

    Trichotillomania as a Manifestation of Dementia.
    Case Rep Psychiatry 2016 20;2016:9782702. Epub 2016 Oct 20.
    Department of Neurology, David Geffen School of Medicine, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA; Department of Neurology, Neurobehavior Unit, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA.
    Pathological hair-pulling or trichotillomania, which is commonly associated with anxiety and depression, obsessive-compulsive disorder, and neurodevelopmental disorders, has been rarely associated with dementing illnesses. Investigators have not clarified the neural correlates and treatment of trichotillomania in dementia. We report a patient who developed an early-onset cognitive decline with genetic, cerebrospinal fluid biomarker and structural and functional neuroimaging studies consistent with Alzheimer's disease. Read More

    Affective correlates of trichotillomania across the pulling cycle: Findings from an Italian sample of self-identified hair pullers.
    Psychiatry Res 2016 Dec 4;246:606-611. Epub 2016 Nov 4.
    Department of General Psychology, University of Padova, via Venezia 8, 35131 Padova, Italy.
    Etiological models of trichotillomania (TTM) conceptualize hair pulling as a dysfunctional emotion regulation strategy; accordingly, some research has found that affective states change differentially across the hair pulling cycle. We explored emotional changes in a sample of Italian individuals reporting TTM. Eighty-nine participants reporting TTM completed a 12-item section of the Italian Hair Pulling Questionnaire online and rated the extent to which they had experienced 12 affective states before, during, and after hair pulling. Read More

    Trichotillomania Among Young Adults: Prevalence and Comorbidity.
    Acta Derm Venereol 2016 Nov 9. Epub 2016 Nov 9.
    Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
    Trichotillomania is an impulse control disorder characterized by repetitive pulling out of one's hair. The aim of this study was to estimate the prevalence of trichotillomania in young adults and its association with anxiety and obsessive-compulsive disorders (OCD). A total of 339 individuals completed a questionnaire to determine the presence of trichotillomania. Read More

    A double-blind, placebo-controlled study of inositol in trichotillomania.
    Int Clin Psychopharmacol 2017 Mar;32(2):107-114
    Department of Psychiatry & Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
    Trichotillomania is characterized by repetitive pulling that causes noticeable hair loss. Data on the pharmacological treatment of trichotillomania are limited, with no clear first-line agent. The aim of the current study was to determine the efficacy and tolerability of inositol in adults with trichotillomania. Read More

    Parent Coping With Adolescent Trichotillomania.
    J Sch Nurs 2016 Dec 25;32(6):423-435. Epub 2016 Jul 25.
    School of Nursing, University of Minnesota, Minneapolis, MN, USA.
    Adolescents who struggle with trichotillomania (TTM; hairpulling disorder) are not alone, their parents also struggle. The focus of this qualitative study was to identify what parents (N = 30) perceive as stressful about parenting an adolescent with TTM and how they cope with these stressors. Parents described uncertainty about the course of the disorder and powerlessness in the ability to protect their adolescent from the reactions of others or assist them in curtailing the hairpulling as very distressing. Read More

    Obsessive-compulsive skin disorders: a novel classification based on degree of insight.
    J Dermatolog Treat 2016 Oct 24:1-5. Epub 2016 Oct 24.
    b Department of Dermatology, Psoriasis and Skin Treatment Center , University of California San Francisco , San Francisco , CA , USA.
    Individuals with obsessive-compulsive features frequently visit dermatologists for complaints of the skin, hair or nails, and often progress towards a chronic relapsing course due to the challenge associated with accurate diagnosis and management of their psychiatric symptoms. The current DSM-5 formally recognizes body dysmorphic disorder, trichotillomania, neurotic excoriation and body focused repetitive behavior disorder as psychodermatological disorders belonging to the category of Obsessive-Compulsive and Related Disorders. However there is evidence that other relevant skin diseases such as delusions of parasitosis, dermatitis artefacta, contamination dermatitis, AIDS phobia, trichotemnomania and even lichen simplex chronicus possess prominent obsessive-compulsive characteristics that do not necessarily fit the full diagnostic criteria of the DSM-5. Read More

    DSM-5 Trichotillomania: Perception of Adults With Trichotillomania After Psychosocial Treatment.
    Psychiatry 2016 ;79(2):164-169
    a Department of Psychology , Texas A&M University , College Station , Texas.
    Objective: Trichotillomania (TTM) is associated with significant embarrassment and is viewed negatively by others. A potentially important outcome variable that is often overlooked in treatment for TTM is appearance and social perception.

    Method: The present study tested whether participants in a randomized controlled trial (RCT) of psychotherapy for TTM are viewed more positively by others. Read More

    Treating Trichotillomania (Hair-Pulling Disorder) in a Child.
    J Clin Psychol 2016 Nov 4;72(11):1200-1208. Epub 2016 Oct 4.
    Marquette University.
    Although cognitive behavioral treatments (CBTs) have been recommended as first-line interventions for trichotillomania (hair-pulling disorder [HPD]), research on CBT for young children with HPD is limited. We illustrate the use of family-based CBT for HPD in an 8-year-old boy. The client had a 5-year history of chronic HPD and several large bald spots on the crown of his head. Read More

    A rare clinic entity: Huge trichobezoar.
    Int J Surg Case Rep 2016 28;28:127-130. Epub 2016 Sep 28.
    General Surgery and Oncology Department, Global Super-Specialty Hospital, Kabul, Afghanistan.
    Introduction: Trichobezoar is a rare clinical entity in which a ball of hair amasses within the alimentary tract. It can either be found as isolated mass in the stomach or may extend into the intestine. Trichobezoars mostly occur in young females with psychiatric disorders such as trichophagia and trichotillomania. Read More

    Rapunzel syndrome: a rare cause of hypoproteinaemia and review of literature.
    BMJ Case Rep 2016 Sep 26;2016. Epub 2016 Sep 26.
    Department of Hematology Oncology, University of Arizona Medical Center, Tucson, Arizona, USA.
    Rapunzel syndrome is an extremely rare condition associated with trichophagia (hair eating disorder) secondary to a psychiatric illness called trichotillomania (hair-pulling behaviour). It is most commonly seen in children and adolescents. Untreated cases can lead to a number of complications. Read More

    Trichotillomania and co-occurring anxiety.
    Compr Psychiatry 2017 Jan 16;72:1-5. Epub 2016 Sep 16.
    Department of Psychiatry, University of Cambridge; & Cambridge and Peterborough NHS Foundation Trust (CPFT), Cambridge, United Kingdom.
    Background: Trichotillomania appears to be a fairly common disorder, with high rates of co-occurring anxiety disorders. Many individuals with trichotillomania also report that pulling worsens during periods of increased anxiety. Even with these clinical links to anxiety, little research has explored whether trichotillomania with co-occurring anxiety is a meaningful subtype. Read More

    Factor analysis of the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version.
    J Obsessive Compuls Relat Disord 2016 Oct 16;11:31-38. Epub 2016 Aug 16.
    Department of Psychology, Texas A&M University, 4235 TAMU, College Station, TX 77840, USA; Department of Psychology, Marquette University, 604 N. 16th St., Milwaukee, WI 53233, USA.
    The Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A; Flessner et al., 2008) measures the degree to which hair pulling in Trichotillomania (TTM) can be described as "automatic" (i.e. Read More

    Gastric Perforation due to Giant Trichobezoar in a 13-Year-Old Child.
    J Gastrointest Surg 2016 Sep 22. Epub 2016 Sep 22.
    Service de Chirurgie Digestive, Thoracique et Endocrine, 32, Boulevard du Jardin Botanique, B-1000, Brussels, Belgium.
    Trichotillomania and trichotillophagia can cause the formation of enormous intragastric hairballs. We report the case of a 13-year-old girl who was brought to the emergency service for evaluation of an acute abdomen. Abdominal CT scanner showed a giant gastric trichobezoar which had to be removed by susombilical laparotomy and transverse gastrotomy. Read More

    Relationship between impulsivity and obsession types in obsessive-compulsive disorder.
    Int J Psychiatry Clin Pract 2016 Nov;20(4):218-23
    a Psychiatry Department , Bakirkoy Research and Training Hospital for Psychiatry Neurology and Neurosurgery , İstanbul , Turkey ;
    Objective: Impulsivity is an important aspect of obsessive-compulsive disorder (OCD) which is classified under a new heading in DSM-5 with other impulsivity related disorders like trichotillomania. Due to its heterogeneous nature, different obsessions may be linked to varying impulsivity profiles. Aim of this study was to investigate the impulsivity traits and their relationship with obsession types by comparing OCD subjects who display sexual, religious and aggressive obsessions or other obsessions to healthy controls. Read More

    Dermoscopy in General Dermatology: A Practical Overview.
    Dermatol Ther (Heidelb) 2016 Dec 9;6(4):471-507. Epub 2016 Sep 9.
    Department of Experimental and Clinical Medicine, Institute of Dermatology, University of Udine, Udine, Italy.
    Over the last few years, dermoscopy has been shown to be a useful tool in assisting the noninvasive diagnosis of various general dermatological disorders. In this article, we sought to provide an up-to-date practical overview on the use of dermoscopy in general dermatology by analysing the dermoscopic differential diagnosis of relatively common dermatological disorders grouped according to their clinical presentation, i.e. Read More

    Hair plucking, stress, and urinary cortisol among captive bonobos (Pan paniscus).
    Zoo Biol 2016 Sep 17;35(5):415-422. Epub 2016 Aug 17.
    Department of Anthropology, University of Oregon, Eugene, Oregon.
    Hair plucking has been observed in many captive primate species, including the great apes; however, the etiology of this behavioral pattern is poorly understood. While this behavior has not been reported in wild apes, an ethologically identical behavior in humans, known as trichotillomania, is linked to chronic psychosocial stress and is a predominantly female disorder. This study examines hair plucking (defined here as a rapid jerking away of the hair shaft and follicle by the hand or mouth, often accompanied by inspection and consumption of the hair shaft and follicle) in a captive group of bonobos (N = 13) at the Columbus Zoo and Aquarium in Columbus, Ohio. Read More

    Does comorbidity matter in body-focused repetitive behavior disorders?
    Ann Clin Psychiatry 2016 Aug;28(3):175-81
    Department of Psychiatry and Behavioral Neuroscience, University of Chicago Pritzker School of Medicine, Chicago, IL, USA. E-mail:
    Background: Trichotillomania (TTM) and skin-picking disorder (SPD) have been characterized as body-focused repetitive behavior disorders (BFRBs). Because BFRBs frequently co-occur, we sought to discover the similarities and differences for individuals having both TTM and SPD as opposed to 1 of these disorders.

    Methods: Participants with primary TTM (N = 421) were evaluated regarding the comorbidity of SPD, and participants with primary SPD (N = 124) were evaluated regarding the comorbidity of TTM. Read More

    Current and future treatments of alopecia areata and trichotillomania in children.
    Expert Opin Pharmacother 2016 Sep 9;17(13):1767-73. Epub 2016 Aug 9.
    b, Rotterdam & Hair Outpatient Clinic , Breda & Dermicis Skin Clinic , Alkmaar , the Netherlands.
    Introduction: Treatment options for hair disorders are generally very limited. These options are even more limited in children due to the lack of trials and clinical research. Moreover, physicians are sometimes scared to treat children with drugs without safety data, especially because most hair disorders are benign. Read More

    Trichotillomania: Bizzare Patern of Hair Loss at 11-Year-old Girl.
    Acta Dermatovenerol Croat 2016 Jun;24(2):150-3
    Jana Zímová, MD. Department of Dermatology. University Hospital Ostrava. 17. listopadu 1790. 708 52 Ostrava - Poruba. Czech Republic;
    Trichotillomania (TTM) is defined by the Diagnostics and Statistic Manual of Mental Disorders, 4th edition (DMS-IV) as hair loss from a patient`s repetitive self-pulling of hair. The disorder is included under anxiety disorders because it shares some obsessive-compulsive features. Patients have the tendency towards feelings of unattractiveness, body dissatisfaction, and low self-esteem (1,2). Read More

    Addressing Self-Control Cognitions in the Treatment of Trichotillomania: A Randomized Controlled Trial Comparing Cognitive Therapy to Behaviour Therapy.
    Cognit Ther Res 2016;40:522-531. Epub 2016 Feb 2.
    Behavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands ; Centre of Anxiety Disorders Overwaal, Nijmegen, The Netherlands.
    People with trichotillomania often have persistent negative beliefs about giving into one's habit. Central in the present study was the hypothesis that the follow-up effects of cognitive therapy (CT), in which these negative beliefs are directly addressed, are better compared to the follow-up effects of behaviour therapy (BT). Fifty-six trichotillomania patients were randomly assigned to either six sessions CT or BT. Read More

    Sleep-isolated Trichotillomania (SITTM): A Case Report.
    Innov Clin Neurosci 2016 Jan-Feb;13(1-2):40-2. Epub 2016 Feb 1.
    All authors are with the Department of Psychiatry and Health Behavior, Medical College of Georgia, Georgia Regents University in Augusta, Georgia, USA.
    We report a case of sleep-isolated trichotillomania admitted to the hospital for alcohol detoxification. It would be helpful for patients with sleep-isolated trichotillomania to have diagnostic polysomnography to identify any other sleep-related pathology and correlate sleep-isolated trichotillomania behaviors with the sleep cycle to identify specific treatment for sleep-isolated trichotillomania. Read More

    Naltrexone: A Pan-Addiction Treatment?
    CNS Drugs 2016 Aug;30(8):719-33
    Gilbert and Rose Marie Chagouri School of Medicine, Byblos, Lebanon.
    Addiction is a major public health problem with few efficacious and safe treatments. The goal of this review is to provide an evidence-based assessment of the therapeutic role of the opioid antagonist naltrexone across the addiction spectrum-substance-based and behavioral. The PubMed database was searched for randomized, placebo-controlled clinical trials that investigated the oral or intramuscular long-acting formulation of naltrexone in substance use disorders or behavioral addictions such as pathological gambling, kleptomania, and trichotillomania. Read More

    A rare variant of rapunzel syndrome-acute small bowel obstruction caused by ball of hairs in distal ileum with its tail extending in caecum and ascending colon.
    J Pak Med Assoc 2016 Jun;66(6):761-4
    Department of Surgery, Surgical Unit II, Bolan Medical Complex hospital, Quetta, Pakistan.
    Rapunzel syndrome is an extremely rare variant of Trichobezoar. Trichobezoar commonly occurs in patients with psychiatric disturbances as trichophagia (morbid habit of chewing the hair) and Trichotillomania (habit of hair pulling). Bezoars are commonly found in the stomach. Read More

    Stomach trichobezoar (rapunzel syndrome) with iatrogenic intussusception.
    Med J Malaysia 2016 Apr;71(2):74-6
    Hospital Raja Permaisuri Bainun, Department of Medicine, Ipoh, Perak, Malaysia.
    We present a rare case of stomach trichobezoar complicated with iatrogenic intussusception noted intra-operatively after failed attempt of endoscopic removal in a 13-year-old girl. At presentation, she had gastric outlet obstruction with anaemia. Endoscopy established the diagnosis of trichobezoar. Read More

    Relevance of trichoscopy in the differential diagnosis of alopecia: A cross-sectional study from North India.
    Indian J Dermatol Venereol Leprol 2016 Nov-Dec;82(6):651-658
    Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
    Background: Trichoscopy is an office tool used in the diagnosis of alopecia but its utility has not been assessed.

    Objectives: To compare the trichoscopic characteristics of different types of alopecia, identify features of diagnostic value, and to determine the utility of trichoscopy in the diagnosis of alopecia.

    Methods: A descriptive cross-sectional study was performed in patients with alopecia. Read More

    Sex differences in trichotillomania.
    Ann Clin Psychiatry 2016 May;28(2):118-24
    Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA E-mail:
    Background: Trichotillomania (TTM) appears to be a fairly common disorder, yet little is known about sex differences in its clinical presentation. Long thought to be a primarily female disorder, males with TTM may have unique clinical presentations.

    Methods: Participants with TTM (N = 462) were examined on a variety of clinical measures including symptom severity, functioning, and psychiatric comorbidity. Read More

    A comparison of clinical vs subclinical skin pickers in Israel.
    Ann Clin Psychiatry 2016 May;28(2):98-104
    Massachusetts General Hospital Trichotillomania Clinic, Boston, MA, USA E-mail:
    Background: Skin-picking disorder (SPD) was recognized as its own entity for the first time in DSM-5. The existing SPD literature is limited and, to date, no study has examined the differences between clinical and sub- clinical SPD. Identifying differences between these 2 groups may improve diagnostic accuracy, treatment, and prevention efforts. Read More

    A Case Report: Large Trichobezoar Causing Rapunzel Syndrome.
    Medicine (Baltimore) 2016 May;95(22):e3745
    From the Department of Pediatrics (SCK, SJK) and Department of Internal Medicine (SHK), Chonbuk National University Medical School and Hospital, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical research Institute of Chonbuk National University Hospital, Jeonju, Korea.
    Rapunzel syndrome is very rare gastric foreign bodies that occur in children. It is a severe condition of a gastric trichobezoar with a long tail that passes into the small intestine. Here, we present the case of an 8-year-old girl with Rapunzel syndrome due to a very large (7 × 7 × 30 cm) gastric trichobezoar. Read More

    Flame Hair.
    Skin Appendage Disord 2015 Sep 2;1(2):105-9. Epub 2015 Sep 2.
    Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Fla., USA.
    Background: 'Flame hairs' is a trichoscopic feature described as hair residue from pulling anagen hairs in trichotillomania.

    Objective: To detect whether flame hairs are present in other hair loss disorders.

    Methods: We retrospectively, independently and blindly reviewed the trichoscopic images of 454 consecutive patients with alopecia areata (99 cases), trichotillomania (n = 20), acute chemotherapy-induced alopecia (n = 6), acute radiotherapy-induced alopecia (n = 2), tinea capitis (n = 13), lichen planopilaris (n = 33), frontal fibrosing alopecia (n = 60), discoid lupus erythematosus (n = 30), dissecting cellulitis (n = 11), central centrifugal cicatricial alopecia (n = 94) and traction alopecia (n = 86) for the presence of flame hairs. Read More

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