Trichotillomania: Bizarre Pattern of Hair Loss in an 11-Year-Old Girl

June 2016 in “ PubMed ”

Jana Zímová, Pavlína Zímová

trichotillomania alopecia areata hair loss trichoscopy skin biopsy cognitive behavioral therapy mild shampoo topical steroids methionine TTM CBT

TLDR An 11-year-old girl with compulsive hair pulling was successfully treated with therapy and medication.

The document detailed a case of Trichotillomania (TTM), a disorder causing compulsive hair pulling, in an 11-year-old girl who had been misdiagnosed with alopecia areata. She had a 2-month history of hair loss in the frontoparietal and parietotemporal area. A dermatological examination, trichoscopy, and skin biopsy confirmed TTM. She also showed mood changes, social withdrawal, and sibling rivalry. Treatment included cognitive behavioral therapy, mild shampoo, mild topical steroids, and methionine in capsules, which were successful with parental cooperation. The document also briefly discussed TTM's prevalence, etiology, diagnostic criteria, and management.

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