Trichotillomania: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Presents with bald spots in various sites: scalp, face, arms, legs, and pubic areas | [[File:Trichotillomania 1.jpg|thumb|A pattern of incomplete hair loss on the scalp of a person with trichotillomania]] | ||
[[File:PMC3290022 crg-0006-0026-g01.png|thumb|]] | |||
*Presents with [[alopecia|bald spots]] in various sites: scalp, face, arms, legs, and pubic areas | |||
*Scalp is the most common, usually with associated eyebrow and eyelash involvement | *Scalp is the most common, usually with associated eyebrow and eyelash involvement | ||
*Usually with bizarre-shaped patches of alopecia and different hair lengths due to breaking off at different points | *Usually with bizarre-shaped patches of alopecia and different hair lengths due to breaking off at different points | ||
===DSM 5 Criteria=== | |||
*Recurrent pulling out of one's hair, resulting in hair loss | |||
*Repeated attempts to decrease or stop hair pulling | |||
*The hair pulling causes significant distress and impairment in at least one important area of functioning | |||
*The hair pulling or hair loss is not attributable to another medical condition | |||
*The hair pulling is not better explained by the symptoms of another mental disorder (eg, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder) | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Tinea capitis | *[[Tinea capitis]] | ||
*Alopecia areata | *Alopecia areata | ||
*Monilethrix | *Monilethrix | ||
== | ==Evaluation== | ||
* | *Generally a clinical diagnosis, however skin biopsy can be used to exclude other etiologies of hair loss | ||
==Management== | ==Management== | ||
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==Disposition== | ==Disposition== | ||
* | *Discharge | ||
==See Also== | ==See Also== | ||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
< | <references/> | ||
[[Category:Dermatology]] | |||
[[Category:Psychiatry]] | |||
Latest revision as of 21:15, 8 September 2020
Background
- A repetitive hair-pulling disorder, often associated with skin-picking
- Classified as an impulse control disorder
Clinical Features
- Presents with bald spots in various sites: scalp, face, arms, legs, and pubic areas
- Scalp is the most common, usually with associated eyebrow and eyelash involvement
- Usually with bizarre-shaped patches of alopecia and different hair lengths due to breaking off at different points
DSM 5 Criteria
- Recurrent pulling out of one's hair, resulting in hair loss
- Repeated attempts to decrease or stop hair pulling
- The hair pulling causes significant distress and impairment in at least one important area of functioning
- The hair pulling or hair loss is not attributable to another medical condition
- The hair pulling is not better explained by the symptoms of another mental disorder (eg, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder)
Differential Diagnosis
- Tinea capitis
- Alopecia areata
- Monilethrix
Evaluation
- Generally a clinical diagnosis, however skin biopsy can be used to exclude other etiologies of hair loss
Management
- Cognitive and behavioral psychotherapy is preferred over pharmacotherapy
Disposition
- Discharge