30 citations
,
August 2018 in “Dermatology and Therapy” This review discusses the diagnostic and treatment challenges of trichotillomania and emphasizes the need for better-designed studies to optimize treatment approaches.
December 2022 in “Discover Psychology” This case report describes a 23-year-old African-American woman who suffered a small bowel obstruction after ingesting hair from a hair weave, highlighting a specific risk associated with trichophagia in Black hair care practices.
July 2022 in “Research Square (Research Square)” This case report highlights a small bowel obstruction from hair ingestion in an African American woman, emphasizing the need for cultural awareness of Black hairstyles in trichotillomania and trichophagia.
4 citations
,
March 2024 in “International Journal of Surgery Case Reports” This case report describes a rare instance of trichotillomania, tricophagia, and a gastric trichobezoar in an 11-year-old boy, emphasizing the importance of a multidisciplinary approach involving surgery and psychiatric evaluation to address this uncommon psychiatric disorder.
101 citations
,
March 2019 in “Cell Stem Cell” This study found that Oncostatin M, via JAK-STAT5 signaling, keeps hair follicle stem cells inactive, and its removal leads to hair growth initiation in mice.
4 citations
,
April 2019 in “Cell Stem Cell” This study found that a specific macrophage subpopulation in the dermis helps maintain hair follicle stem cell quiescence through cytokine-mediated signaling.
This study found that the succinate receptor, GPR91, plays a crucial role in the progression of androgenetic alopecia by affecting the immune system and hair follicle biology, and targeting it may offer new therapeutic strategies.
13 citations
,
October 2004 in “Anais Brasileiros De Dermatologia” This article reviews various self-aggressive hair disorders such as trichotillomania and emphasizes the psychiatric aspects of these conditions, but reports no new clinical findings.
9 citations
,
January 2014 in “World journal of gastroenterology” This report describes a case where a gluten-free diet may have resolved trichotillomania in a young patient, suggesting a relationship between celiac disease and certain behavioral disorders.
6 citations
,
January 2018 in “Acta dermatovenerologica Alpina, Pannonica et Adriatica (Tiskana izd.)” This case report describes the successful surgical removal of a trichobezoar in an 8-year-old girl, which extended from her stomach into the duodenum.
3 citations
,
June 2023 in “American Journal of Forensic Medicine & Pathology” This case report documents a rare fatal instance of Rapunzel syndrome in a child, highlighting the use of postmortem CT and MRI to reveal trichobezoar-related bowel obstructions and perforations as the cause of death.
2 citations
,
December 2023 in “JEADV. Journal of the European Academy of Dermatology and Venereology/Journal of the European Academy of Dermatology and Venereology” This study, involving an international panel of 16 psychodermatology experts, proposed a new classification system for psychodermatology disorders that aims to unify previous classifications and improve their management by systematizing disorders into two main categories: primary mental health disorders and primary skin disorders.
This case report details a 28-year-old male who developed trichotillomania following a traumatic brain injury, highlighting diagnostic challenges in distinguishing overlapping psychiatric and compulsive behaviors, and underscores the importance of a comprehensive, multidisciplinary treatment approach.
February 2026 in “Journal of Paediatrics and Child Health” This source highlights that gastric trichobezoar, although rare in children under 3, should be suspected in cases of chronic vomiting and gastric masses, with surgical removal as definitive treatment; multidisciplinary intervention is crucial to prevent serious complications and recurrence.
September 2024 in “Quality in Sport” This study provides a comprehensive review of trichotillomania, focusing on its clinical symptoms, etiology, diagnostics, and treatment methods, while also addressing serious complications like trichobezoars and Rapunzel Syndrome.
September 2024 in “Pediatrics in Review” This case report detailed a rare diagnosis of Rapunzel syndrome, where intussusception in a young girl was caused by trichobezoars linked to undiagnosed trichotillomania and trichophagia.
November 2023 in “Scholars academic journal of biosciences” This study highlights a case of trichotillomania with trichophagia in a 7-year-old girl, illustrating the medical complications and need for awareness and collaborative management of this condition, often misdiagnosed due to stigma.
May 2022 in “European medical journal” This case report highlights a rare instance of gastric trichobezoar, or "Rapunzel syndrome," associated with trichotillomania, characterized by hair accumulation in the stomach of a patient.
May 2022 in “European medical journal” This case report describes a rare instance of a patient with trichotillomania also developing a gastric trichobezoar, leading to Rapunzel syndrome.
January 2022 in “Clinical Cases in Dermatology” This review discusses the characteristics, potential genetic components, and treatment options for trichotillomania, a psychiatric condition that involves compulsive hair pulling, without reporting new clinical results.
December 2020 in “International journal of medical science and clinical invention” In this case report, the authors describe a rare instance of Rapunzel syndrome in an 8-year-old girl presenting with a large trichobezoar extending from the stomach into the jejunum, linked to trichotillomania and trichophagia, highlighting the need for psychiatric management to prevent recurrence.
January 2018 in “Springer eBooks” Trichotillomania is a condition where people repeatedly pull out their hair, which can be triggered by stress and has various physical signs.
October 2012 in “The American Journal of Gastroenterology” This case report details a 21-year-old female diagnosed with a massive gastric trichobezoar due to trichophagia, successfully treated with single incision laparoscopic surgery and slated for psychiatric follow-up to prevent recurrence.
December 2008 in “The Internet journal of surgery” This case report describes a 16-year-old girl with Rapunzel syndrome, where a trichobezoar presented as an abdominal lump, emphasizing the need for surgical removal and psychiatric evaluation to prevent recurrence.
January 1999 in “대한피부과학회지” This study found that trichotillomania was more common in younger people, particularly females, and was characterized by increased catagen hair without perifollicular inflammation.
February 2026 in “International Journal of Surgery Case Reports” This case report highlighted two instances of bezoar disease: a massive gastric trichobezoar in a teenage girl and multiple gastrointestinal phytobezoars in an adult man, underscoring the importance of CT imaging for diagnosis and the effectiveness of surgical intervention for removing large or multiple bezoars.
219 citations
,
September 2016 in “American Journal of Psychiatry” This article reviews trichotillomania, highlighting its differences from OCD and recommending treatments like habit reversal therapy and specific medications, but reports no new clinical results.
19 citations
,
March 2016 in “British journal of dermatology/British journal of dermatology, Supplement” In this study, evidence that trichodysplasia spinulosa-associated polyomavirus targets follicular keratinocytes was observed in a pediatric case, suggesting these cells as the primary viral target.
2 citations
,
January 2023 in “Journal of Education, Health and Sport” In this study, researchers reviewed current treatments for trichotillomania and found that psychotherapy, particularly cognitive-behavioral therapy like habit reversal training, is most effective, with some medications helping to alleviate symptoms, though further study is needed on their use.
February 2026 in “Frontiers in Pediatrics” This case report describes a 7-year-old girl initially misdiagnosed with SMA syndrome, but later found to have a gastric trichobezoar via EGD, highlighting the diagnostic challenges in children with nonspecific symptoms.