Murat ASLAN, Çiçek HOCAOĞLU, Derya YÜKSEL, Nursel DİLEK

Very Late Onset "Trichotillomania": A Case Report

Trichotillomania is a chronic psychiatric disorder that repetitive hair pulling which leads to marked hair loss, negative effects on all areas of the person's functioning. Although trichotillomania has been known for many years, it has attracted less attention than other psychiatric disorders. Therefore, the information about its epidemiology, etiology, clinical feature and therapeutic approaches are limited. Trichotillomania usually begins in early childhood or adolescence. It is more common in women than men. Cases are frequently referred to the first dermatology outpatient clinics due to marked hair loss. Trichotillomania is one of the common issues of psychiatry and dermatology. In patients with trichotillomania, comorbid psychiatric disorders often accompany the clinical picture. The most common psychiatric comorbidities are mood disorders and anxiety disorders. In this study, we report a male patient who was treated with a diagnosis of very late onset trichotillomania with comorbid depression. The fact that trichotillomania started at an advanced age is a feature that makes our case interesting.

Çok Geç Başlangıçlı "Trikotilomani": Bir Olgu Sunumu

Trikotilomani, yineleyen saç yolmalar sonucu belirgin saç kaybına yol açan, kişinin işlevselliğinin tüm alanlarını olumsuz etkileyen süregen seyirli bir ruhsal bozukluktur. Trikotilomani uzun yıllardır bilinmesine rağmen diğer ruhsal bozukluklardan daha az ilgi çekmiştir. Bu nedenle epidemiyolojisi, etiyolojisi, klinik görünümü ve tedavi yaklaşımları ile ilgili bilgiler sınırlıdır. Trikotilomani genellikle erken çocukluk ya da ergenlik döneminde başlar. Kadınlarda erkeklere göre daha sık görülmektedir. Belirgin saç kaybı nedeni ile olgular ilk kez dermatoloji polikliniklerine başvururlar. Trikotillomani psikiyatri ile dermatolojinin ortak konularından biridir. Trikotilomanili olgularda eş tanılı psikiyatrik bozukluklar da sıklıkla klinik tabloya eşlik eder. En yaygın görülen psikiyatrik eş tanılar duygudurum bozuklukları, anksiyete bozukluklarıdır. Bu çalışmada eştanılı depresyonu da olan çok geç başlangıçlı trikotillomani tanısı ile tedavisi düzenlenen bir erkek olgu sunulmuştur. Trikotillomaninin ileri yaşta başlamış olması olgumuzu ilginç kılan bir özelliktir.

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