Trichotillomania - Revision history

Rossdonaldson1: /* Clinical Features */

2020-09-08T21:15:38Z

Clinical Features

← Older revision		Revision as of 21:15, 8 September 2020
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	==Clinical Features==		==Clinical Features==
			[[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\|]]		[[File:PMC3290022 crg-0006-0026-g01.png\|thumb\|]]
	*Presents with [[alopecia\|bald spots]] in various sites: scalp, face, arms, legs, and pubic areas		*Presents with [[alopecia\|bald spots]] in various sites: scalp, face, arms, legs, and pubic areas

Rossdonaldson1: /* Clinical Features */

2020-09-08T21:14:33Z

Clinical Features

← Older revision		Revision as of 21:14, 8 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3290022 crg-0006-0026-g01.png\|thumb\|]]
	*Presents with [[alopecia\|bald spots]] in various sites: scalp, face, arms, legs, and pubic areas		*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

ClaireLewis at 01:58, 28 September 2019

2019-09-28T01:58:29Z

← Older revision		Revision as of 01:58, 28 September 2019
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	==Clinical Features==		==Clinical Features==
	*Presents with bald spots in various sites: scalp, face, arms, legs, and pubic areas		*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

Mholtz at 22:15, 21 October 2017

2017-10-21T22:15:01Z

← Older revision		Revision as of 22:15, 21 October 2017
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	*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==
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	==Evaluation==		==Evaluation==
	*~~Skin~~ biopsy can be used to exclude other etiologies of hair loss		*Generally a clinical diagnosis, however skin biopsy can be used to exclude other etiologies of hair loss
	~~===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)

	==Management==		==Management==
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	==Disposition==		==Disposition==
	*~~Referral to psychiatry~~		*Discharge

	==See Also==		==See Also==


	==External Links==		==External Links==


	==References==		==References==
	<~~UpToDate~~>		<references/>

	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:Psychiatry]]		[[Category:Psychiatry]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T23:08:00Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 23:08, 26 July 2016
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	*Monilethrix		*Monilethrix

	==~~Diagnosis~~==		==Evaluation==
	*Skin biopsy can be used to exclude other etiologies of hair loss		*Skin biopsy can be used to exclude other etiologies of hair loss
	===DSM 5 Criteria===		===DSM 5 Criteria===

Rossdonaldson1: /* Diagnosis */

2016-05-11T11:09:01Z

Diagnosis

@@ Line 14: / Line 14: @@
 ==Diagnosis==
 *Skin biopsy can be used to exclude other etiologies of hair loss
 ==Management==

Rossdonaldson1 at 11:08, 11 May 2016

2016-05-11T11:08:36Z

← Older revision		Revision as of 11:08, 11 May 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Tinea capitis		*[[Tinea capitis]]
	*Alopecia areata		*Alopecia areata
	*Monilethrix		*Monilethrix
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	==References==		==References==
	<UpToDate>		<UpToDate>

			[[Category:Dermatology]]
			[[Category:Psychiatry]]

Kshigyo: Trichotillomania

2016-01-20T12:11:14Z

Trichotillomania

New page

==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

==Differential Diagnosis==
*Tinea capitis
*Alopecia areata
*Monilethrix

==Diagnosis==
*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)

*Skin biopsy can be used to exclude other etiologies of hair loss

==Management==
*Cognitive and behavioral psychotherapy is preferred over pharmacotherapy

==Disposition==
*Referral to psychiatry

==See Also==

==External Links==

==References==
<UpToDate>