Hair breaker

Introduction Some patients use both hands to tear the hair or use scissors to cut the hair, which is called trichckryptomania. Broken mites are one of the mental and psychological diseases, which may be caused by psychological factors such as mental stress and anxiety or family factors. It is characterized by impulsive plucking that causes hair loss, which is not a reaction to delusions or hallucinations. There is usually an increase in tension before plucking, and there is a sense of relief or satisfaction after the plucking.

Cause

Cause:

Some people think that family dynamics may be the cause of ticks and the persistence of symptoms, such as parents' temperament, negative, non-fulfilment of parental functions, and no contact with children. Parents and children are hostile or severe, and are the main mode of the family of female juveniles. Multiple fixation points in each stage of sexual psychology may be the pathological psychological cause of the disease. It has been reported that patients with plucking tend to have similar clinical manifestations with obsessive-compulsive disorder, and their first-degree relatives have a higher incidence of obsessive-compulsive disorder. At the same time, anti-depressants such as clomipramine and serotonin, which can control the symptoms of obsessive-compulsive patients, are used. Fluoxetine (fluoxetine) is equally effective in the treatment of plucking ticks, and therefore plucking mites may be considered a subtype of obsessive-compulsive disorder.

Pathogenesis:

Some people think that family dynamics may be the cause of hirsutism and the persistence of symptoms, such as parents' temperament, negative non-fulfilment of parental functions, and no contact with children. Parents and children are hostile or severe and are the main mode of family of female juveniles. Multiple fixation points in each stage of sexual psychology may be the pathological psychological cause of the disease. It has been reported that patients with plucking tend to have similar clinical manifestations with obsessive-compulsive disorder and a higher incidence of obsessive-compulsive disorder among first-degree relatives. At the same time, anti-depressants such as clomipramine and fluoride can be used to control the symptoms of obsessive-compulsive patients. Westing (fluoxetine) is equally effective in the treatment of plucking ticks, so plucking mites may be considered a subtype of obsessive-compulsive disorder.

an examination

Related inspection

Neurological examination of brain CT examination of brain MRI

The patient removes his hair by hand or with iron clips and tweezers. The plucking site of the same patient is relatively fixed, but the plucking sites of different patients are different. More common in the top, frontal and occipital hair, but eyebrows, eyelashes, mane and pubic hair can also be affected. The hair that has been regenerated after being removed is still removed repeatedly. The scalp often has large hair loss, which is shaped like alopecia areata, but the boundaries are not uniform, and there are often hair loss and hair loss at the hair loss. Older patients deny their own plucking behavior. Hair plucking often occurs when you are in bed, reading, watching TV, or doing homework. Symptoms are sustainable or intermittent. Some patients use both hands to tear the hair or use scissors to cut the hair, which is called broken hair. The patient pulls and eats his own hair, called trichotillophagimania. The swallowed hair can cause abdominal pain, anorexia, constipation, formation of hairy stones or crypts in the digestive tract, leading to intestinal obstruction, intestinal perforation, intestinal bleeding, Complications such as acute pancreatitis and obstructive jaundice.

According to clinical manifestations, patients often use their hands or use iron clips and tweezers to force their hair to be removed.

Differential diagnosis

According to the main symptoms of hair extraction, the diagnosis of this disease is not difficult, but need to pay attention to the exclusion of mental illness, such as children with schizophrenia, mental retardation, childhood depression, physical diseases, such as hypothyroidism, calcium deficiency, alopecia areata, if The above diseases are mainly treated with primary diseases.

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