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Trichotillomania, Pediatric

Carol A. Mathews, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Trichotillomania (TTM) is the recurrent pulling out of one’s hair resulting in hair loss. Pulling causes clinically significant distress or functional impairment, is accompanied by r...

DIAGNOSIS

HISTORY

Patients may present with a complaint of hair loss or with concern regarding pulling behavior. 

PHYSICAL EXAM

  • Areas of hair loss do not show complete alopecia; instead, they contain hai...

TREATMENT

GENERAL MEASURES

  • Triggers should be identified and minimized with a focus on stress management strategies.

  • Parent and family education about TTM and associated conditions is essential.

  • The Tric...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patients with TTM should be referred to a mental health professional with training in BT and, ideally, with experience treating patients with TTM.

  • Online treatment...

ADDITIONAL READING

  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidInsig...

CODES

ICD9

  • 312.39 Other disorders of impulse control

  • 307.59 Other disorders of eating

ICD10

  • F63.3 Trichotillomania

  • F50.8 Other eating disorders

SNOMED

  • 17155009 trichotillomania (disorder)

  • 5125001 Habitual eat...

FAQ

  • Q: What are signs and symptoms of trichobezoar?

  • A: Patients can present with abdominal pain, nausea, vomiting, weight loss, or gastrointestinal bleeding. Abdominal radiograph shows a characteristic...

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