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https://www.readbyqxmd.com/read/28225970/trichotillomania-a-case-report-with-clinical-and-dermatoscopic-differential-diagnosis-with-alopecia-areata
#1
Ana Cecília Versiani Duarte Pinto, Tatiana Cristina Pedro Cordeiro de Andrade, Fernanda Freitas de Brito, Gardênia Viana da Silva, Maria Lopes Lamenha Lins Cavalcante, Antonio Carlos Ceribelli Martelli
Trichotillomania is a psychodermatologic disorder characterized by uncontrollable urge to pull one's own hair. Differential diagnoses include the most common forms of alopecia such as alopecia areata. It is usually associated with depression and obsessive-compulsive disorder. Trichotillomania treatment standardization is a gap in the medical literature. Recent studies demonstrated the efficacy of N-acetylcysteine (a glutamate modulator) for the treatment of the disease. We report the clinical case of a 12-year-old female patient who received the initial diagnosis of alopecia areata, but presented with clinical and dermoscopic features of trichotillomania...
January 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28213676/-psychosomatic-disorders-of-the-scalp
#2
REVIEW
W Harth
Psychosomatic disorders of the scalp have some special characteristics due to the visibility, possible stigmatization, and amount/patterns of hair. Of practical relevance is trichotillomania, which is now classified as an obsessive-compulsive disorder (OCD). Patients who are obsessed with normal physiological hair loss represent a further psychodermatological challenge. Psychosomatic therapy includes basic psychosomatic care, behavior therapy, or treatment with psychopharmaceuticals.
February 17, 2017: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/28183072/alternative-therapies-for-excoriation-skin-picking-disorder-a-brief-update
#3
Julio Torales, Iván Barrios, Jorge Villalba
Context • Excoriation (skin picking) disorder is characterized by the need or urge to pick, scratch, pinch, touch, rub, scrub, squeeze, bite, or dig the skin, and it can be a perplexing condition for the inexperienced physician. Treatments include pharmacotherapy, psychotherapy, and alternative therapies. Alternative therapies for excoriation disorder and other body-focused repetitive behaviors include yoga, aerobic exercise, acupuncture, biofeedback, hypnosis, and inositol and N-acetylcysteine, among others...
January 2017: Advances in Mind-body Medicine
https://www.readbyqxmd.com/read/28143628/pulling-your-hair-out-in-geriatric-psychiatry-a-case-report
#4
Mairead M Bartley, Maria I Lapid, Jon E Grant
Trichotillomania is a relatively understudied psychiatric disorder. Even less is known about this disorder in the elderly. We describe an unusual case of an elderly woman presenting for the first time with trichotillomania at age 70 and highlight the treatment complexities we encountered.
February 1, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28142278/refining-treatment-approaches-in-comorbid-trichotillomania-and-bipolar-disorder-response-to-sharma-and-baczynski
#5
Jon E Grant
No abstract text is available yet for this article.
February 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28142271/trichotillomania-and-bipolar-disorder
#6
Verinder Sharma, Christine Baczynski
No abstract text is available yet for this article.
February 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28141717/behavioral-changes-associated-with-a-disruptive-new-student-in-the-classroom
#7
Julie Stein OʼBrien, Howard Taras, Scott Barton, Pete Sellick, Martin T Stein
Marcus is a 10-year-old boy who was followed by his pediatrician for several years. She knows him as a socially engaged, active athlete, playing soccer and baseball, out-going, and a good student. He has been in good health without a significant medical history.At the beginning of this academic year, a new student was placed in Marcus's fourth grade class. This student is disruptive, impulsive, and abusive. He has frequent violent outbursts, yelling, kicking, and throwing objects, including recently throwing a desk across the room...
February 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28118168/increased-trichotillomania-symptoms-in-a-child-with-fluoxetine-treatment
#8
Çiğdem Yektaş, Ali Evren Tufan
Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Here, we report a female patient whose TTM symptoms increased after fluoxetine use...
January 23, 2017: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/28099364/endoscopic-retrieval-of-gastric-trichophytobezoar-case-report-of-a-12-year-old-girl-with-trichophagia
#9
Jiu-Ling Zhao, Wei-Chuan Zhao, Yu-Shui Wang
RATIONALE: Trichophytobezoars, which are composed of hair and plant fibers, are usually located in the stomach. They are often associated with trichophagia and trichotillomania. The most commonly reported methods of trichophytobezoar treatment are open surgery and laparoscopic retrieval; there are few reports of endoscopic removal of trichophytobezoars. PATIENT CONCERNS AND DIAGNOSES: Twelve-year-old girl presented with a 3-day history of increasing upper abdominal pain, anorexia, and postprandial emesis...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28074524/trichoscopic-clues-for-diagnosis-of-alopecia-areata-and-trichotillomania-in-asians
#10
Saranya Khunkhet, Vasanop Vachiramon, Poonkiat Suchonwanit
BACKGROUND: Trichoscopy has become a useful diagnostic tool for various hair and scalp diseases, including alopecia areata (AA) and trichotillomania (TTM), which are sometimes difficult to distinguish clinically. OBJECTIVES: To describe trichoscopic findings of AA and TTM in an Asian population and to establish diagnostic clues for these conditions. METHODS: Trichoscopy was performed with a handheld dermoscope in 52 patients diagnosed with AA and 23 patients diagnosed with TTM...
February 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/28005403/preliminary-randomized-controlled-trial-of-habit-reversal-training-for-treatment-of-hair-pulling-in-youth
#11
Omar Rahman, Joseph McGuire, Eric A Storch, Adam B Lewin
OBJECTIVES: This study evaluated the treatment efficacy of habit reversal training (HRT) relative to treatment as usual (TAU) for children and adolescents aged 7-17 years with a primary diagnosis of trichotillomania (TTM). METHOD: An initial assessment consisting of semistructured interviews and rating scales was conducted. Participants (N = 40, 85% female) meeting diagnostic criteria for TTM were randomized to either 8 weekly sessions of HRT by trained therapists or 8 weeks of TAU...
December 22, 2016: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/27969077/trichobezoar-rapunzel-syndrome-in-an-adolescent-patient-with-trichotillomania-and-generalized-anxiety-disorder-a-case-report
#12
EDITORIAL
Anil Kumar Bn, Narendra Kumar L, Janardhana Thippeswamy, Lavanya N Rangaswamaiah
No abstract text is available yet for this article.
October 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27920650/trichotillomania-in-celiac-disease
#13
Abeer Ayad Al Lihabi
Trichotillomania is an underreported and underdiagnosed condition associated with significant impairments in social and functional relationships. The connection between celiac disease and trichotillomania is not yet established clearly. Only a few cases of trichotillomania have been reported to date. Here, we report the case of a 22-year-old Saudi female, who presented with celiac disease and trichotillomania to the psychiatry clinic. This is the first report of its kind in Saudi Arabia. By reporting this case, I highlight the importance of psychiatric and comprehensive approaches in patients with celiac disease...
September 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27901519/predictors-of-comorbid-obsessive-compulsive-disorder-and-skin-picking-disorder-in-trichotillomania
#14
Nancy J Keuthen, Erin E Curley, Jeremiah M Scharf, Douglas W Woods, Christine Lochner, Dan J Stein, Esther S Tung, Erica Greenberg, S Evelyn Stewart, Sarah A Redden, Jon E Grant
BACKGROUND: Trichotillomania (TTM), obsessive-compulsive disorder (OCD), and skin-picking disorder (SPD) frequently occur together and share overlapping phenomenology, pathophysiology, and possible genetic underpinnings. This study sought to identify factors that predict OCD and SPD in hair pullers. METHODS: Five hundred fifty-five adult female hair pullers were recruited from specialty clinics and assessed using standardized, semi-structured interviews and self-reports...
November 2016: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/27891708/n-acetyl-cysteine-in-the-treatment-of-trichotillomania
#15
Katlein França, Torello Lotti
No abstract text is available yet for this article.
November 27, 2016: Dermatologic Therapy
https://www.readbyqxmd.com/read/27843914/trichoscopy-of-focal-alopecia-in-children-new-trichoscopic-findings-hair-bulbs-arranged-radially-along-hair-bearing-margins-in-aplasia-cutis-congenita
#16
Adriana Rakowska, Małgorzata Maj, Małgorzata Zadurska, Joanna Czuwara, Olga Warszawik-Henzel, Małgorzata Olszewska, Lidia Rudnicka
PURPOSE: To establish whether trichoscopy can be useful in the differential diagnosis of patchy alopecia in children. PROCEDURES: The study was a retrospective analysis (2012-2015) and included 68 patients under 6 years of age. The inclusion criteria were age and the presence of 1-3 alopecia patches. A total of 124 alopecia patches were examined with the use of a videodermoscope: 102 alopecia areata, 8 tinea capitis, 6 trichotillomania, 3 temporal triangular alopecia and 5 aplasia cutis congenita...
September 2016: Skin Appendage Disorders
https://www.readbyqxmd.com/read/27836242/affective-correlates-of-trichotillomania-across-the-pulling-cycle-findings-from-an-italian-sample-of-self-identified-hair-pullers
#17
Gioia Bottesi, Silvia Cerea, Allison J Ouimet, Claudio Sica, Marta Ghisi
Etiological models of trichotillomania (TTM) conceptualize hair pulling as a dysfunctional emotion regulation strategy; accordingly, some research has found that affective states change differentially across the hair pulling cycle. We explored emotional changes in a sample of Italian individuals reporting TTM. Eighty-nine participants reporting TTM completed a 12-item section of the Italian Hair Pulling Questionnaire online and rated the extent to which they had experienced 12 affective states before, during, and after hair pulling...
December 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27827514/trichotillomania-among-young-adults-prevalence-and-comorbidity
#18
Magdalena Grzesiak, Adam Reich, Jacek C Szepietowski, Tomasz Hadryś, Przemysław Pacan
Trichotillomania is an impulse control disorder characterized by repetitive pulling out of one's hair. The aim of this study was to estimate the prevalence of trichotillomania in young adults and its association with anxiety and obsessive-compulsive disorders (OCD). A total of 339 individuals completed a questionnaire to determine the presence of trichotillomania. OCD and anxiety disorders were diagnosed according to the diagnostic criteria of the International Classification of Diseases 10th Revision (ICD-10), based on the Composite International Diagnostic Interview...
November 9, 2016: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/27824633/a-double-blind-placebo-controlled-study-of-inositol-in-trichotillomania
#19
Eric W Leppink, Sarah A Redden, Jon E Grant
Trichotillomania is characterized by repetitive pulling that causes noticeable hair loss. Data on the pharmacological treatment of trichotillomania are limited, with no clear first-line agent. The aim of the current study was to determine the efficacy and tolerability of inositol in adults with trichotillomania. A total of 38 individuals (35 women; mean age: 28.9±11.4) with trichotillomania entered a 10-week, double-blind, placebo-controlled trial to evaluate the safety and efficacy of inositol (dosing ranging from 6 to 18 g/day)...
March 2017: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/27724833/dsm-5-trichotillomania-perception-of-adults-with-trichotillomania-after-psychosocial-treatment
#20
David C Houghton, Colleen S McFarland, Martin E Franklin, Michael P Twohig, Scott N Compton, Angela M Neal-Barnett, Stephen M Saunders, Douglas W Woods
OBJECTIVE: Trichotillomania (TTM) is associated with significant embarrassment and is viewed negatively by others. A potentially important outcome variable that is often overlooked in treatment for TTM is appearance and social perception. METHOD: The present study tested whether participants in a randomized controlled trial (RCT) of psychotherapy for TTM are viewed more positively by others. All participants in the trial were photographed at baseline and posttreatment...
2016: Psychiatry
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