title: Trichotillomania and trichophagia leading to trichobezoar.
abstract: A 14-year-old female presented with the complaints of loss of hair, scalp pruritus, and pain in the abdomen. On careful work-up, she was found to have trichotillomania as well as trichophagia. Investigations also revealed a trichobezoar which completely filled the stomach. Hemogram showed moderate hypochromic anemia. Her detailed psychiatric profile showed a few additional features like obsessive hand washing, knuckle cracking, nose picking and body rocking. Her trichobezoar was removed surgically, and she had an uneventful post-operative recovery. She is being maintained on fluoxetine and is doing well. The role of a multi-disciplinary approach to trichotillomania patients is highlighted.
authors.affiliation: Department of Dermatology, I.G. Medical College, Shimla, India.
authors.forename: N L
authors.initials: NL
authors.lastname: Sharma
authors.forename: R C
authors.initials: RC
authors.lastname: Sharma
authors.forename: V K
authors.initials: VK
authors.lastname: Mahajan
authors.forename: R C
authors.initials: RC
authors.lastname: Sharma
authors.forename: D
authors.initials: D
authors.lastname: Chauhan
authors.forename: A K
authors.initials: AK
authors.lastname: Sharma
mesh_terms: D000293:Adolescent; D001630:Bezoars / Q000209:etiology* / Q000601:surgery; D005260:Female; D006197:Hair; D006801:Humans; D010842:Pica / Q000150:complications*; D013270:Stomach / Q000601:surgery; D014256:Trichotillomania / Q000150:complications*