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Psychosomatic Medicine, Vol 60, Issue 5 658-660, Copyright © 1998 by American Psychosomatic Society

ORIGINAL ARTICLES

Trichobezoars in trichotillomania: case report and literature overview

C Bouwer and DJ Stein
Department of Psychiatry, University of Stellenbosch, Tygerberg, South Africa.

OBJECTIVE: Although trichobezoars are well described in the surgical literature, there is relatively little in the psychiatric literature on them. This study aims to focus the attention of readers on trichobezoars by means of a case report and an overview of the literature. METHOD: We present a case of a patient with trichotillomania and a trichobezoar, including psychiatric management. We also briefly review the relevant literature. RESULTS: Hair-pulling significantly improved in response to treatment with the selective serotonin reuptake inhibitor fluoxetine and supportive psychotherapy. CONCLUSIONS: The medical and psychiatric sequelae of trichotillomania should not be underestimated. Pharmacotherapy may be play a useful role in some patients with this disorder.


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Copyright © 1998 by the American Psychosomatic Society