Trichotillomania with Giant Gastric Trichobezoar in a Female Child: A Case Report

    May 2022 in “ European medical journal ”
    Walaa Fadhil Abbas, Tamrazova Olga Borisovna, Молочков Антон Владимирович, Dzyadchik Alexander Valerievich, Stadnikova Antonina Sergeevna
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    TLDR An 11-year-old girl with a hair-pulling disorder had a hairball in her stomach and was treated with medication, therapy, and a team of doctors.
    The document discusses a case of an 11-year-old female diagnosed with Trichotillomania (TTM), an anxiety disorder characterized by repetitive hair pulling, and trichophagia, the act of eating hair. The patient presented with abdominal pain and thinning hair, mainly in the frontoparietal areas. She was found to have a gastric trichobezoar, a complication of TTM and trichophagia. Treatment included a shampoo for thin hair, multivitamins with iron supplements, selective serotonin reuptake inhibitors, and cognitive-behavioural therapy. The case emphasizes the need for a multidisciplinary team, including dermatologists, psychiatrists, and general surgeons, for effective diagnosis and management of TTM and trichophagia.
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