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Trichobezoars in children - A psychological perspective
Varun S Kumar1, Ankitha M Shenoy2, Aureen Ruby DCunha3
1Department of Paediatrics, K.S. Hegde Medical Academy, Nitte (deemed to be University), Mangalore, India.
Insights
Trichobezoars, or hairballs, are complications of trichotillomania (hair pulling) and trichophagia (hair eating). This case series explores the diverse psychopathology behind these conditions in children.
Area of Science:
- Gastroenterology
- Psychiatry
- Pediatrics
Background:
- Trichobezoars are indigestible masses of hair in the gastrointestinal tract.
- They are often associated with trichotillomania (compulsive hair pulling) and trichophagia (compulsive hair eating).
- Trichotillomania is classified under obsessive-compulsive spectrum disorders in the DSM-5.
Abstract:
Trichobezoars or hairballs in the gastrointestinal tract occur as a complication of trichotillomania or compulsive hair pulling, and trichophagia, or compulsive eating of hair. The DSM-5 classifies trichotillomania as an obsessive-compulsive spectrum disorder. In this case series of four children with trichobezoar, we present the varied psychopathology that led to the same and discuss the current literature on complex issues underlying trichotillomania.
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