Trichotillomania in Children − How can a Dermatologist Deal with it?

Hair loss in children is an important cosmetic concern, especially in adolescents where body image matters. Trichotillomania manifests through patchy hair loss which reflects underlying psychiatric conditions. It is a challenge for the dermatologist, who are first contact physicians, to deal with su...

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Main Authors: Sejal Thakkar, Nimisha Desai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Paediatric Dermatology
Subjects:
Online Access:http://www.ijpd.in/article.asp?issn=2319-7250;year=2023;volume=24;issue=2;spage=109;epage=115;aulast=Thakkar
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author Sejal Thakkar
Nimisha Desai
author_facet Sejal Thakkar
Nimisha Desai
author_sort Sejal Thakkar
collection DOAJ
description Hair loss in children is an important cosmetic concern, especially in adolescents where body image matters. Trichotillomania manifests through patchy hair loss which reflects underlying psychiatric conditions. It is a challenge for the dermatologist, who are first contact physicians, to deal with such cases who are secretly struggling with their inner turmoil. Hence, they must be well versed to deal with such patients. The current review aims to facilitate the dermatologist to handle them effectively. We performed PubMed and Google Scholar searches of English literature using the terms “Trichotillomania”, “Trichotillosis,” “Trichotillomania in Children,” “Trichotillomania in pediatrics,” “Trichotillomania in adolescents,” “Hair pulling disorder,” “Obsessive-Compulsive disorders AND Dermatology,” “Psychodermatology,” and “Psychocutaneous disorders.” The selected publications were reviewed for additional resources. Thorough psychological evaluation of the patient along with the cutaneous examination will help the dermatologists in establishing the diagnosis. Dermatologists should be empowered regarding the need of mental health referral and should be able to convey the same to the patient/family members empathetically. They can offer habit reversal therapy, mainstay treatment, as well as pharmacotherapy as and when needed after adequate training.
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spelling doaj.art-604e961fc57d4bee93885668a69b86a42023-10-26T06:49:56ZengWolters Kluwer Medknow PublicationsIndian Journal of Paediatric Dermatology2319-72502023-01-0124210911510.4103/ijpd.ijpd_104_22Trichotillomania in Children − How can a Dermatologist Deal with it?Sejal ThakkarNimisha DesaiHair loss in children is an important cosmetic concern, especially in adolescents where body image matters. Trichotillomania manifests through patchy hair loss which reflects underlying psychiatric conditions. It is a challenge for the dermatologist, who are first contact physicians, to deal with such cases who are secretly struggling with their inner turmoil. Hence, they must be well versed to deal with such patients. The current review aims to facilitate the dermatologist to handle them effectively. We performed PubMed and Google Scholar searches of English literature using the terms “Trichotillomania”, “Trichotillosis,” “Trichotillomania in Children,” “Trichotillomania in pediatrics,” “Trichotillomania in adolescents,” “Hair pulling disorder,” “Obsessive-Compulsive disorders AND Dermatology,” “Psychodermatology,” and “Psychocutaneous disorders.” The selected publications were reviewed for additional resources. Thorough psychological evaluation of the patient along with the cutaneous examination will help the dermatologists in establishing the diagnosis. Dermatologists should be empowered regarding the need of mental health referral and should be able to convey the same to the patient/family members empathetically. They can offer habit reversal therapy, mainstay treatment, as well as pharmacotherapy as and when needed after adequate training.http://www.ijpd.in/article.asp?issn=2319-7250;year=2023;volume=24;issue=2;spage=109;epage=115;aulast=Thakkarhabit reversal therapyhair pulling behaviorpediatricpsychocutaneoustrichotillomania
spellingShingle Sejal Thakkar
Nimisha Desai
Trichotillomania in Children − How can a Dermatologist Deal with it?
Indian Journal of Paediatric Dermatology
habit reversal therapy
hair pulling behavior
pediatric
psychocutaneous
trichotillomania
title Trichotillomania in Children − How can a Dermatologist Deal with it?
title_full Trichotillomania in Children − How can a Dermatologist Deal with it?
title_fullStr Trichotillomania in Children − How can a Dermatologist Deal with it?
title_full_unstemmed Trichotillomania in Children − How can a Dermatologist Deal with it?
title_short Trichotillomania in Children − How can a Dermatologist Deal with it?
title_sort trichotillomania in children how can a dermatologist deal with it
topic habit reversal therapy
hair pulling behavior
pediatric
psychocutaneous
trichotillomania
url http://www.ijpd.in/article.asp?issn=2319-7250;year=2023;volume=24;issue=2;spage=109;epage=115;aulast=Thakkar
work_keys_str_mv AT sejalthakkar trichotillomaniainchildrenhowcanadermatologistdealwithit
AT nimishadesai trichotillomaniainchildrenhowcanadermatologistdealwithit