TRICHOTILLOMANIA

Abstract

Patients with some primary mental disorders (trichotillomania, onichotillomania, onichophagia, neurotic excoriations, dermatozoic delirium) frequently consult a dermatologist. The task of the dermatologist is to diagnose the disease and to persuade the patient to consult a psychiatrist. Two cases with trichotillomania are described: a girl aged 16 years with involvement of the hairy part of the head and a little girl aged 6 years with eyebrows and eyelids involvement. The causes of disease, age-associated clinical symptoms, and most informative diagnostic methods (trichoscopy, trichogram, microscopic examination of the hairs) are discussed. The basic therapeutic methods used in psychiatry, prognosis, and disease course are described.

Keywords

trichotillomania / therapy / diagnosis / clinical picture / trichoscopy / microscopy

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