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Trichotillomania: a review and case report
Michelle A Nuss1, David Carlisle, Mary Hall
1Department of Medicine, West Virginia University School of Medicine, One Medical Center Dr, PO Box 9160, Morgantown, WV 26506, USA. mnuss@hsc.wvu.edu
Cutis
|October 10, 2003
Summary
Trichotillomania, a disorder causing hair pulling, often presents to dermatologists but requires psychiatric diagnosis and treatment. Effective management necessitates collaboration between dermatologists and psychiatrists for these challenging cases.
Area of Science:
- Psychiatry
- Dermatology
Background:
- Trichotillomania is a psychiatric disorder characterized by the recurrent, irresistible urge to pull out one's own hair.
- Despite dermatological presentation, the core pathology and treatment fall under psychiatric care.
Observation:
- A case report details a 33-year-old woman with severe trichotillomania.
- The disorder is often chronic and leads to significant social impairment.
Findings:
- Common clinical and pathological findings associated with trichotillomania are reviewed.
- Treatment options for dermatologists are discussed, highlighting their limitations when used in isolation.
Implications:
- Integrated care models involving dermatologists and psychiatrists are crucial for managing trichotillomania.
- Enhanced collaboration can lead to more effective treatment outcomes for patients with this debilitating condition.