Joel R. Carr, Ellen H. Sholevar, David A. Baron. Trichotillomania and Trichobezoar: A Clinical Practice Insight With Report of Illustrative Case. J Am Osteopath Assoc 2006;106(11):647–652. doi: 10.7556/jaoa.2006.106.11.647.
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Untreated trichophagia secondary to trichotillomania is a potentially life-threatening condition. Taking a thorough family and social history, most notably with the aid of a genogram or family tree, can aid in including this disorder in the differential diagnosis. This case presentation describes a unique occurrence of untreated trichotillomania in a female adolescent that led to formation of a trichobezoar requiring emergent surgical intervention and follow-up psychiatric treatment. This case highlights osteopathic medicine's fundamental concept of treating the whole person rather than just symptoms by considering factors such as genetic influences in understanding disease.
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