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Hair loss in an infant presenting with failure to thrive

Baninder Kaur Baidwan1, Cara J Haberman1

  • 1Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.

SAGE Open Medical Case Reports
|June 9, 2021
PubMed

Insights

A rare case of pediatric failure to thrive was caused by a gastric trichobezoar in an 11-month-old. Surgical removal resolved the obstruction, leading to weight gain and symptom resolution.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Case Report

Background:

  • Failure to thrive (FTT) in infants often stems from inadequate caloric intake or malabsorption.
  • Mechanical obstruction of the gastrointestinal tract is a less common cause of FTT.

Observation:

  • An 11-month-old male infant presented with FTT, scalp hair loss, abdominal distension, and reported hair in stool.
  • Imaging revealed a gastric filling defect, confirmed on endoscopy as a trichobezoar composed of hair, nail, and food.

Findings:

  • A gastric trichobezoar was successfully removed surgically.
  • Post-operatively, the infant tolerated feeds, exhibited consistent weight gain, and showed no symptom recurrence at 8 months.

Implications:

  • This case highlights trichobezoar as a rare but significant cause of FTT in infants, necessitating consideration in differential diagnoses.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes in pediatric trichobezoar cases.

Keywords:
Gastroenterology/hepatologyfailure to thrivepediatrics

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