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      The Many Faces of Trichotillomania

      case-report

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          Abstract

          Trichotillomania is a poorly understood complex disorder of multifaceted pathology which often requires an interdisciplinary approach for management. While sharing similarities with obsessive-compulsive disorder, compelling differences between these have also been noted. We present three cases of trichotillomania highlighting the remarkable variability seen in the presentation of this disorder. In doing so, we discuss on resolving the classificatory issues and call for a consensus on the understanding of the disorder.

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          Most cited references12

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          American Psychiatric Association: Diagnostic and;1; Statistical Manual of Mental disorders

          (2000)
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            American Psychiatric Association. Diagnostic and Statistic Manual of Mental Disorders

            (1994)
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              Reduced basal ganglia volumes in trichotillomania measured via morphometric magnetic resonance imaging.

              A morphometric magnetic resonance imaging (MRI) study compared volumes of brain structures in 10 female subjects with trichotillomania (repetitive hair-pulling) versus 10 normal controls matched for sex, age, handedness, and education. Three-dimensional MRI scans were blindly normalized and segmented using well-characterized semiautomated intensity and differential contour algorithms by signal intensity-frequency histograms. Consistent with one a priori hypothesis, left putamen volume was found to be significantly smaller in trichotillomania subjects as compared with normal matched controls. This is the first report of a structural brain abnormality in trichotillomania. Results are discussed in terms of putative relationships between trichotillomania, Tourette's syndrome, and obsessive-compulsive disorder.
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                Author and article information

                Journal
                Int J Trichology
                IJT
                International Journal of Trichology
                Medknow Publications (India )
                0974-7753
                0974-9241
                Jan-Jun 2010
                : 2
                : 1
                : 50-52
                Affiliations
                Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
                Author notes
                Address for correspondence: Dr. Preeti Parakh, Room No. 4, Kasturba Girls’ Hostel, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221 005, India Email: drpreeti9@ 123456yahoo.co.in
                Article
                IJT-2-50
                10.4103/0974-7753.66916
                3002415
                21188027
                e5a96f64-04d3-49a3-ab82-874a61c547af
                © International Journal of Trichology

                This is an open-access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Dermatology
                obsessive-compulsive spectrum disorders,hair-loss,hair-pulling,trichotillomania
                Dermatology
                obsessive-compulsive spectrum disorders, hair-loss, hair-pulling, trichotillomania

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