Bilateral Trichotillomania of Eyelashes Triggered by Anxiety Due to Nocturnal Enuresis: A Case Report

    June 2019 in “ Case Reports in Ophthalmological Medicine ”
    Shoko Ubukata, Tatsuya Mimura, Emiko Watanabe, Koichí Matsumoto, Makoto Kawashima, Kazuma Kitsu, Mai Nishio, Atsushi Mizota
    This case report described a rare instance of bilateral trichotillomania of the eyelashes in a 9-year-old Japanese boy, triggered by anxiety over nocturnal enuresis. Initially misdiagnosed as alopecia, the boy's condition was linked to his fear of peers discovering his enuresis during an upcoming school trip. The trichotillomania was resolved through discussions involving the boy, his family, teacher, and school counselor. The report highlighted the importance for ophthalmologists to consider anxiety-related factors in cases of eyelash loss, rather than solely attributing it to alopecia.
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