Abstract
A case of trichotillomania with pica, encopresis and attention deficit hyperactivity disorder in a 6 year old girl
Highlights
Trichotillomania (TTM) is characterized by recurrent pulling of one’s own hair resulting in hair loss[1]
Trichotillomania is a disturbing illness for patients and relatives, more so, when it is there along with other co-morbidities like attention deficit hyperactivity disorder (ADHD), pica or encopresis
A study done by Russel, suggests a defect in neuronal circuits that are required for reward-guided associative learning and memory formation in patients with ADHD, which usually includes nucleus accumbens and its connections[6,7]
Summary
Trichotillomania (TTM) is characterized by recurrent pulling of one’s own hair resulting in hair loss[1]. It is currently classified as an obsessive–compulsive related disorder in DSM 51. Prevalence in Indian children is 1.24% as reported by Malhotra et al[2]. Onset of trichotillomania is usually around puberty; there are reports documenting onset as early as 18 months[3]. Early childhood TTM has often been described to be a benign habit, in clinical practice it can be worrying to the child and the parents, and can cause disturbance in family and academic functioning[3]. There are many conditions reported to be co-morbid with trichotillomania in children including mental retardation, thumb sucking, enuresis, depression, eating disorder and encopresis[2]. The authors declare that there are no conflicts of interest Personal funding was used for the project
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