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Trichotillomania Incognito: Two Case Reports and Literature Review

Mariana Rita de Novaes Fernandes1, Daniel Fernandes Melo1, Colombina Vincenzi2

  • 1Dermatology Department, University of State of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.

Skin Appendage Disorders
|April 2, 2021
PubMed

Insights

Trichotillomania, a hairpulling disorder, can occur in children without visible patches. Early recognition using trichoscopy is crucial for managing this distressing condition and supporting psychosocial development.

Area of Science:

  • Dermatology
  • Pediatrics
  • Psychiatry

Background:

  • Trichotillomania is a compulsive disorder causing repetitive hairpulling, often leading to patchy alopecia.
  • It commonly affects children aged 9-13, significantly impacting their psychosocial well-being.

Observation:

  • This paper presents two pediatric cases of trichotillomania exhibiting no apparent patches of hair loss.
  • The absence of typical alopecia presented a diagnostic challenge.

Findings:

  • Trichoscopy, a non-invasive diagnostic tool, proved essential in identifying subtle signs of hair pulling.
  • Early recognition through trichoscopy facilitated appropriate management strategies for these unique cases.

Implications:

  • These cases highlight the importance of considering trichotillomania even without visible alopecia in pediatric patients.
  • Trichoscopy aids in the early diagnosis and management of hair disorders, improving patient outcomes and psychosocial health.

Keywords:
HairpullingPediatric trichotillomaniaTrichoscopyTrichotillomania

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