A rare case of paediatric trichotillomania complicating into Rapunzel syndrome: a case report

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dc.contributor.authorBollapalli, Preethi Swaroopen_US
dc.contributor.authorBommakanti, Janardhanen_US
dc.contributor.authorVangala, Sravan Reddyen_US
dc.contributor.authorPawar, Sunilen_US
dc.contributor.authorReddy, Madhumohanen_US
dc.date.accessioned2019-11-16T07:20:13Z
dc.date.available2019-11-16T07:20:13Z
dc.date.issued2014-07
dc.description.abstractBackground: Trichotillomania is a psychological condition that involves strong urge to pull one’s hair. Trichophagia is disorder of eating of hair. Bezoar is collection of undigested material such as hair, drugs and plastic or combinations. Rapunzel syndrome is a rare type of trichobezoar, which has mass of hair lodged in stomach extending up to ileum. In majority, diagnosis is made very late, at a stage where surgery is the only option. Case description: A 9 year old girl was brought with complaints of loss of hair on scalp since 8 months, decreased appetite, and constipation, weight loss since 5 months and vomiting since 2 weeks. Patient had paediatric consultations without much benefit; patient was referred to dermatologist and paediatric surgeon. Ultrasound showed mass in abdomen. Patient was operated to find a mass extending from stomach to terminal ileum. Patient was referred to a Psychiatrist and diagnosis of Trichotillomania was made. Discussion: Trichobezoar is common in young females, often with an underlying psychiatric disorder, they present late due to the low index of suspicion. As this condition is a rarity in paediatric age group and very little progress to Rapunzel syndrome, this paper discusses about the systemic team management of the above individual. Conclusion: High index of suspicion is needed to diagnose this condition in paediatric age group.en_US
dc.identifier.affiliationsConsultant Psychiatrist, Maithri psychiatry centre; Krishna children’s Hospital, Hyderabad, Indiaen_US
dc.identifier.affiliationsConsultant Dermatologist, Krishna children’s Hospital, Hyderabad, Indiaen_US
dc.identifier.affiliationsConsultant Paediatrician, Krishna children’s Hospital, Hyderabad, Indiaen_US
dc.identifier.affiliationsConsultant Paediatric surgeon Krishna children’s Hospital, Hyderabad, Indiaen_US
dc.identifier.citationBollapalli Preethi Swaroop, Bommakanti Janardhan, Vangala Sravan Reddy, Pawar Sunil, Reddy Madhumohan. A rare case of paediatric trichotillomania complicating into Rapunzel syndrome: a case report. Andhra Pradesh Journal of Psychological Medicine. 2014 Jul-Dec; 15(2): 258-260en_US
dc.identifier.issn2249-5851
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/183931
dc.languageenen_US
dc.publisherIndian Psychiatric Societyen_US
dc.relation.issuenumber2en_US
dc.relation.volume15en_US
dc.subjectTrichotillomaniaen_US
dc.subjectTrichobezoaren_US
dc.subjectRapunzel Syndromeen_US
dc.titleA rare case of paediatric trichotillomania complicating into Rapunzel syndrome: a case reporten_US
dc.typeJournal Articleen_US
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