PDF(Pubmed)
Abstract：
UNASSIGNED: Trichotillomania and tricophagia, characterized by compulsive hair-pulling and subsequent ingestion which results in a compact mass of hair called trichobezoar. It represents an uncommon psychiatric disorder, especially in young children.
METHODS: This case report describes a distinctive and rare occurrence of trichotillomania, tricophagia and trichobezoar in a 11-year-old male child. Concerns raised by the parents regarding noticeable hair loss, who initially presented to medical outdoor patient with complaints of abdominal pain on and off from the last one year. He had a history of pica and weight-loss. He was then diagnosed with a gastric trichobezoar for which he was operated upon and a giant trichobezoar was retrieved from his stomach. Post-operatively patient remained admitted in ward and was discharged home on fifth post-operative day and sent for psychiatry evaluation.
UNASSIGNED: Trichotillomania and tricophagia often have roots in psychosocial stressors, anxiety, and depression. Children may engage in hair-pulling as a coping mechanism, especially in response to familial or environmental stressors. The literature emphasizes the importance of understanding the psychosocial context to tailor interventions effectively.
CONCLUSIONS: Trichotillomania and tricophagia is very rare in paediatric population and if presents a multidisciplinary team comprising of a paediatrition, paediatric surgeon and paediatric psychiatrist should be involved and if diagnosed with a gastric trichobezoar should be removed surgically in order to prevent complications.
METHODS: This case report describes a distinctive and rare occurrence of trichotillomania, tricophagia and trichobezoar in a 11-year-old male child. Concerns raised by the parents regarding noticeable hair loss, who initially presented to medical outdoor patient with complaints of abdominal pain on and off from the last one year. He had a history of pica and weight-loss. He was then diagnosed with a gastric trichobezoar for which he was operated upon and a giant trichobezoar was retrieved from his stomach. Post-operatively patient remained admitted in ward and was discharged home on fifth post-operative day and sent for psychiatry evaluation.
UNASSIGNED: Trichotillomania and tricophagia often have roots in psychosocial stressors, anxiety, and depression. Children may engage in hair-pulling as a coping mechanism, especially in response to familial or environmental stressors. The literature emphasizes the importance of understanding the psychosocial context to tailor interventions effectively.
CONCLUSIONS: Trichotillomania and tricophagia is very rare in paediatric population and if presents a multidisciplinary team comprising of a paediatrition, paediatric surgeon and paediatric psychiatrist should be involved and if diagnosed with a gastric trichobezoar should be removed surgically in order to prevent complications.
摘要：
■Trichotillomaniaandtricophagia,其特征是强迫性的头发拉扯和随后的摄入，导致称为毛黄的紧密毛发。它代表了一种罕见的精神疾病，尤其是在年幼的孩子。
方法：本病例报告描述了一种独特且罕见的毛滴虫病，一名11岁男孩的三噬和毛虫。父母提出的关于明显脱发的担忧，从过去一年开始，他最初向医疗户外患者提出了关于腹痛的投诉。他有异食癖和减肥史。然后，他被诊断出患有胃的毛黄，为此他进行了手术，并从他的胃中取出了一个巨大的毛黄。术后患者仍留在病房，并在术后第5天出院，并送去接受精神病学评估。
■Trichotillomania和三噬通常源于心理社会压力源，焦虑,和抑郁症。孩子们可能会把拉头发作为一种应对机制，尤其是对家庭或环境压力的反应。文献强调了了解心理社会背景以有效定制干预措施的重要性。
结论：毛滴虫和三噬在儿科人群中非常罕见，如果提出由儿科组成的多学科小组，小儿外科医生和小儿精神病医生应参与其中，如果诊断出患有胃毛虫，则应手术切除，以防止并发症。
方法：本病例报告描述了一种独特且罕见的毛滴虫病，一名11岁男孩的三噬和毛虫。父母提出的关于明显脱发的担忧，从过去一年开始，他最初向医疗户外患者提出了关于腹痛的投诉。他有异食癖和减肥史。然后，他被诊断出患有胃的毛黄，为此他进行了手术，并从他的胃中取出了一个巨大的毛黄。术后患者仍留在病房，并在术后第5天出院，并送去接受精神病学评估。
■Trichotillomania和三噬通常源于心理社会压力源，焦虑,和抑郁症。孩子们可能会把拉头发作为一种应对机制，尤其是对家庭或环境压力的反应。文献强调了了解心理社会背景以有效定制干预措施的重要性。
结论：毛滴虫和三噬在儿科人群中非常罕见，如果提出由儿科组成的多学科小组，小儿外科医生和小儿精神病医生应参与其中，如果诊断出患有胃毛虫，则应手术切除，以防止并发症。
