{"id":8299,"date":"2020-04-28T01:55:39","date_gmt":"2020-04-28T04:55:39","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/tricotilomania\/"},"modified":"2020-04-28T01:55:39","modified_gmt":"2020-04-28T04:55:39","slug":"trichotillomania","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/","title":{"rendered":"Trichotillomania"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFQue-es-la-tricotilomania\" >What is trichotillomania?<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFQuien-contrae-tricotilomania\" >Who gets trichotillomania?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFQue-causa-la-tricotilomania\" >What causes trichotillomania?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-tricotilomania\" >What are the clinical characteristics of trichotillomania?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#Tricotilomania\" >Trichotillomania<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFCuales-son-las-complicaciones-de-la-tricotilomania\" >What are the complications of trichotillomania?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFComo-se-diagnostica-la-tricotilomania\" >How is trichotillomania diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFCual-es-el-tratamiento-para-la-tricotilomania\" >What is the treatment for trichotillomania?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/tricotilomania\/#%C2%BFCual-es-el-resultado-de-la-tricotilomania\" >What is the result of trichotillomania?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h1><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-tricotilomania\"><\/span><span style=\"font-size: 24px; line-height: 1.4;\">What is trichotillomania?<\/span><span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>Trichotillomania is a disorder characterized by an irresistible urge to remove or pull one&#039;s own <span class=\"term\" data-term-id=\"122\">hair<\/span>, which results in <span class=\"term\" data-term-id=\"824\">alopecia<\/span> (Hair loss). Trichotillomania is also called trichotylosis or hair pulling disorder.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-tricotilomania\"><\/span>Who gets trichotillomania?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Trichotillomania is estimated to affect up to 4% in the general population. It can affect men and women of any age, but it is more common in children than in adults. The onset peak generally occurs in the preschool years and also in early adolescence, usually around the time of puberty.<\/p>\n<p>In boys, trichotillomania affects boys and girls equally, but with increasing age, it is seen more frequently in women. It is not clear if this is because women are more likely to seek treatment. Men can also disguise pulling hair as male pattern baldness and shaving.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-tricotilomania\"><\/span>What causes trichotillomania?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The exact cause of trichotillomania remains largely unknown. Note:<\/p>\n<ul>\n<li>There is a possible <span class=\"term\" data-term-id=\"558\">genetic<\/span> tendency to trichotillomania.<\/li>\n<li>Trichotillomania often arises in individuals with <span class=\"term\" data-term-id=\"1730\">haunting<\/span>&#8211;<span class=\"term\" data-term-id=\"1723\">compulsive<\/span> disorder.<\/li>\n<li>It can develop as a coping mechanism triggered by stress or anxiety.<\/li>\n<li>It is commonly associated with other body-centered ones. <span class=\"term\" data-term-id=\"1729\">repetitive<\/span> behaviors, such as nail biting (onychophagy), scratching the skin, acne excoriation, lip biting, and cheek chewing.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"402\">Neurological <\/span>factors may be involved.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-tricotilomania\"><\/span>What are the clinical characteristics of trichotillomania?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most common place to pull hair is on the scalp. The hairs can also be extracted from the eyebrows, eyelashes, trunk, arms, legs and pubic area.<\/p>\n<ul>\n<li>The places where the hair is pulled can change over time.<\/li>\n<li>Some people with trichotillomania pull hairs that they perceive to be different in length and texture from other hairs.<\/li>\n<li>The hair puller may or may not be aware of the habit. It can occur when the individual is engaged in other activities such as watching television, reading, studying and talking on the phone. It can also occur deliberately in association with compulsive impulses and anxiety that are relieved by pulling hair. Many people display both types of hair pulling behavior.<\/li>\n<li>Pulling hair can be pleasant and is generally not described as painful.<\/li>\n<\/ul>\n<p>Hair loss patterns range from slight thinning or unnoticeable areas of hair loss to completely bald areas.<\/p>\n<ul>\n<li>Examination of the scalp may reveal patches of alopecia that are irregular in shape.<\/li>\n<li>They can be felt with stubble, with hairs of different lengths.<\/li>\n<li>Children tend to pull hairs that are easy to reach and are on the same side as their dominant hand. These are generally the <span class=\"term\" data-term-id=\"1318\">frontotemporal<\/span> areas (areas behind the forehead and ears) and the vertex (top of the head).<\/li>\n<li>Eyelashes and eyebrows may also be broken or missing.<\/li>\n<li>Scratches, bruises and <span class=\"term\" data-term-id=\"90\">erythema<\/span> pick up can also be seen.<\/li>\n<li>Repeated depilation damages the <span class=\"term\" data-term-id=\"1301\">follicles<\/span> and can cause irreversible scars <\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Tricotilomania\"><\/span>Trichotillomania<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hairloss10__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3041166-1765241' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hairloss10__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3041166.jpg'>\n<\/div>\n<p class=\"p-small\">Trichotillomania<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='trichotillomania-03__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7138793-3377753' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/trichotillomania-03__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7138793.jpg'>\n<\/div>\n<p class=\"p-small\">trichotillomania 03<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='trichotillomania2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8772077-8073301' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/trichotillomania2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8772077.jpg'>\n<\/div><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>See more trichotillomania images ...<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-complicaciones-de-la-tricotilomania\"><\/span>What are the complications of trichotillomania?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Trichobezoar (undigested hairballs) is a rare but life-threatening complication of trichotillomania, resulting from <span class=\"term\" data-term-id=\"406\">ingestion<\/span> of pulled hair (trichophagy). It can present with abdominal pain, nausea, vomiting, and constipation. It can also cause intestinal obstruction or <span class=\"term\" data-term-id=\"1431\">drilling<\/span>.<\/p>\n<p>Other reported complications include:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"324\">Located<\/span> skin infections\n<\/li>\n<li>\n<p>Blepharitis due to eyelash extraction<\/li>\n<li>\n<span class=\"term\" data-term-id=\"319\">Chronic<\/span> pain from prolonged abnormal postures while pulling hair<\/li>\n<li>Carpal tunnel <span class=\"term\" data-term-id=\"350\">syndrome<\/span>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-tricotilomania\"><\/span>How is trichotillomania diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It is important to exclude other causes of hair loss, especially alopecia areata. A dermatological evaluation may include: <\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"393\">Hair pull test<\/span> Negative<\/li>\n<li>\n<p>Wooden light to rule out mushrooms <span class=\"term\" data-term-id=\"145\">infection<\/span>\n<\/li>\n<li>\n<p>Dermoscopy and \/ or <span style=\"text-decoration: underline;\">tricoscopy<\/span> recommendations:<\/p>\n<ul>\n<li>Reduced capillary density<\/li>\n<li>Broken hairs of unequal length<\/li>\n<li>Tricoptilosis (split \/ frayed ends)<\/li>\n<li>Hair <span class=\"term\" data-term-id=\"1127\">dust<\/span>\n<\/li>\n<li>Short veils<\/li>\n<li>\n<span class=\"term\" data-term-id=\"24\">Biopsy<\/span> and <span class=\"term\" data-term-id=\"128\">histology<\/span> recommendations:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"33\">Catagen<\/span> hairs<\/li>\n<li>Dystrophic hairs<\/li>\n<li>Relatively not<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> <span class=\"term\" data-term-id=\"61\">dermis<\/span>\n<\/li>\n<li>Fractured hair stems<\/li>\n<li>Plugging of dilated follicles with debris (<span class=\"term\" data-term-id=\"155\">curb<\/span> and <span class=\"term\" data-term-id=\"180\">melanin<\/span> molds)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>A <span class=\"term\" data-term-id=\"1771\">psychiatric<\/span> Assessment may also be necessary but can be difficult in young children. Trichotillomania falls into the category of obsessive-compulsive and related disorders, according to the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, Fifth Edition (DSM-5).<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-tricotilomania\"><\/span>What is the treatment for trichotillomania?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Treatment should begin with reassurance, parent and caregiver education, and discussion of possible options for managing the condition. Treatment generally involves some form of behavioral therapy that includes parenting techniques. In younger children, management is often conservative, and attempts to avoid pulling hair (cutting hair close to the scalp, gloves or stockings to cover the child&#039;s hands), a gentle reminder when hair pulling is observed and times of wait. Treating other behaviors like thumb sucking can also be helpful. <\/p>\n<p>In older children, other behavioral therapies may be possible. The techniques used vary widely and may include habit reversal training.<\/p>\n<p>In resistant cases in adolescents and adults, drugs such as tricyclic antidepressants (eg Clomipramine) and selective serotonin absorption inhibitors can be considered. Limited evidence has suggested that N-acetylcysteine may help.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-resultado-de-la-tricotilomania\"><\/span>What is the result of trichotillomania?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In younger children, trichotillomania tends to be <span class=\"term\" data-term-id=\"22\">benign<\/span> and self-limiting. Children generally outgrow the condition.<\/p>\n<p>In adolescents and adults, trichotillomania may be episodic but tends to be chronic. It is associated with more psychopathology and may be more difficult to treat. Affected individuals may feel embarrassed, try to mask hair loss, and consequently have problems with low self-esteem.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la tricotiloman\u00eda? La tricotiloman\u00eda es un trastorno caracterizado por un impulso irresistible de eliminar o tirar de la propia cabello, lo que resulta en alopecia (perdida de cabello)&#8230;.<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-8299","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8299","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8299"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8299\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8299"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8299"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}