TLDR A 4-year-old girl was diagnosed with trichotillomania, a condition where she pulls out her hair, which may resolve on its own or require therapy.
The document detailed a case of a 4-year-old girl diagnosed with trichotillomania, a psychiatric disorder with a lifetime prevalence of less than 1%, after she was observed pulling her hair during an office visit. This condition, which has a female predominance, can start at any age and may resolve on its own if it begins early, but can become chronic and associated with other psychiatric disorders if it starts during adolescence. Characterized by recurrent hair pulling, tension before the act, and relief afterwards, treatment options include selective serotonin reuptake inhibitors and cognitive behavior therapy, particularly habit reversal therapy, although no medication is specifically approved for trichotillomania. The document emphasized the necessity of a thorough workup for alopecia to ensure an accurate diagnosis.
83 citations,
January 2001 in “American journal of clinical dermatology” Clomipramine may significantly reduce hair-pulling in Trichotillomania, but more research is needed on treatments and early onset cases.
19 citations,
March 1999 in “PubMed” Trichotillomania is a chronic condition where people uncontrollably pull out their hair, often starting in childhood.
July 2012 in “Springer eBooks” The document concludes that proper diagnosis and treatment of nonscarring alopecias can improve quality of life and hair regrowth is possible as the hair follicle remains intact.
8 citations,
September 2021 in “Skin appendage disorders” Trichotillomania treatment is most successful with a mix of behavioral therapy, medication, and social support.
May 2017 in “InTech eBooks” Hair pulling disorder is treated with therapy and medication; hair loss from tension can be reversed if caught early.
83 citations,
January 2001 in “American journal of clinical dermatology” Clomipramine may significantly reduce hair-pulling in Trichotillomania, but more research is needed on treatments and early onset cases.
January 2009 in “Springer eBooks” The document concludes that treating skin conditions should include psychological care and a multidisciplinary approach is essential for effective management.