MyMedR

Fulltext A 'Hairy' problem: Trichotillomania, trichophagia and trichobezoars

Yik YI, How AK

Singapore Med J, 2016 Jul;57(7):411.

PMID: 27439704 DOI: 10.11622/smedj.2016125

Matched MeSH terms: Trichotillomania/diagnosis*; Trichotillomania/surgery*

Fulltext Stomach trichobezoar (rapunzel syndrome) with iatrogenic intussusception

Yik YI, How AK

Med J Malaysia, 2016 04;71(2):74-6.

PMID: 27326947 MyJurnal

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. Surgical removal was warranted after failed endoscopic removal. Her postoperative course was uneventful. Detailed history and careful examination disclosed trichotillomania and associated trichophagia. Psychiatric referral was sought with the intention to prevent future recurrence.

Matched MeSH terms: Trichotillomania*

Autism and trichotillomania in an adolescent boy

Masiran R

BMJ Case Rep, 2018 Sep 05;2018.

PMID: 30185454 DOI: 10.1136/bcr-2018-226270

An adolescent with autism spectrum disorder and improperly treated attention deficit hyperactivity disorder presented with recurrent hair pulling. Treatment with selective serotonin reuptake inhibitor and stimulant improved these conditions.

Matched MeSH terms: Trichotillomania/complications; Trichotillomania/diagnosis; Trichotillomania/drug therapy*

Fulltext Co-occurrence of trichotillomania and polycystic ovarian syndrome: A case report

Ismaliza Ismail, Wan Salwina Wan Ismai, Norazirah Md. Nor, Lee Voon Yee, Ani Amelia Zainuddin

Journal of Clinical and Health Sciences, 2020;5(2):57-60.

MyJurnal

Trichotillomania (TTM) or hair pulling disorder is characterized by repetitive pulling of hair on
the body whereas Polycystic Ovarian Syndrome (PCOS) is a metabolic-endocrine disorder,
manifested by irregular menstrual cycle and clinical hyperandrogenism. Both disorders
commonly occur in young females. TTM and PCOS may be related and share the same
pathophysiology. We reported a case of a teenager with TTM and PCOS, which were triggered
by stress. Neurobiological mechanism may explain the co-occurrences between TTM and
PCOS. Further research in the neurobiology of TTM and PCOS may better explain the cooccurrences between the two disorders.

Matched MeSH terms: Trichotillomania

Fulltext Gastric trichobezoar in an end-stage renal failure and mental health disorder presented with chronic epigastric pain: A case report

Ali AA, Gurung R, Fuad ZM, Moosa M, Ali I, Abdulla A, et al.

Ann Med Surg (Lond), 2020 Oct;58:76-79.

PMID: 32953103 DOI: 10.1016/j.amsu.2020.08.021

Background: Gastric trichobezoar happens when there is an indigestible substance or food found in the gastrointestinal tract. It is a rare presentation which is usually associated with trichotillomania and trichopagia. The presentation may not be specific and is usually related to dyspepsia-like symptoms. In the worst-case scenario, this may cause gastric outlet or intestinal obstruction which eventually requires surgery.

Case presentation: We present a 36-year-old lady with underlying end-stage renal failure (ESRF) and undiagnosed mental health issues who was treated for recurrent episodes of gastritis. Imaging modalities revealed intragastric foreign body ingestion which is consistent with gastric trichobezoar. She eventually underwent laparotomy and gastrotomy to remove the foreign body. Postoperatively, she was referred and followed-up by the psychiatric team.

Conclusion: Gastric trichobezoar has strong associations with psychiatric disorders. With the co-existence of an ESRF, uraemia might contribute to the aetiology of the trichotillomania and trichophagia. Open surgery is the choice of definitive management especially if bezoars are larger. Should the recurrence be remitted, a biopsychosocial modality and regular haemodialysis is the most sustainable approach to ensure the behaviour does not persist.

Matched MeSH terms: Trichotillomania

Fulltext Rapunzel syndrome in a paediatric patient

Ngo, C.W., Syauki, H., Kumar, M.V.

Journal of Surgical Academia, 2017;7(1):66-68.

MyJurnal

Rapunzel syndrome, or generically known as trichobezoar, is a rare condition. It usually happens among teenage population. We are presenting a case report of Rapunzel syndrome that happened in a 4-year-old child. She was initially investigated for nephrotic syndrome, as she had high blood pressure and hypoalbuminaemia. However, it was later found out to be a trichobezoar, indirectly causing both hypertension and malnutrition. This condition demanded a combination of surgical and psychiatric discipline for diagnosis and its treatment.

Matched MeSH terms: Trichotillomania

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