类似斑秃的单独眉毛与睫毛拔毛癖  

Isolated eyebrow and eyelash trichotillomania mimicking alopecia areata

作　　者：Radmanesh M. Shafiei S. Naderi A.H. 潘敏 

机构地区：[1]Kianpars Dermatologic and Laser Research Center, 15 Kianpars 4 East Street, Ahwaz 61559- 14195, Iran Dr.

出　　处：《世界核心医学期刊文摘（皮肤病学分册）》2006年第8期34-34,共1页Digest of the World Core Medical JOurnals:Dermatology

摘　　要：Background: Isolated Trichotillomania (TM) of the eyebrows and eyelashes is occasionally seen and may be mistaken for alopecia areata (AA). Objective: The clinical study of the patients with isolated eyebrows and eyelashes alopecia suggesting of TM. Patients and Method: Seven children and young adult patients who referred with recalcitrant eyebrows and eyelashes alopecia were diagnosed as TM based on the clinical criteria for TM. The hair specifications for TM were include: hairs are broken at different levels, they may be tufted, tortuous and some hair fibers may be abnormally longer than others. The hair follicles may be prominent. The patients and their parents studied for psychopathology using a semistructured interview based on the Diagnostic Statistical manual of Psychiatric disorders (DSM-1V) and maudsley inventory. Results: Our clinical study, interview with the patients and their parents and the clinical criteria used to differentiate TM from AA all support the clinical diagnosis of TM. The patients and their parents mainly suffered from obsessive-compulsive disorders (OCD) and obsessive- compulsive spectrum disorders (OCSDs). Conclusion: TM as a hair pulling habit in patients with underlying psychopathology can be considered in cases with isolated eyebrows and eyelashes alopecia when the hair are broken at different levels. And they may be malaligned, nonuniform, tortuous, and tufted.Background： Isolated Trichotillomania （TM） of the eyebrows and eyelashes is occasionally seen and may be mistaken for alopecia areata （AA） . Objective： The clinical study of the patients with isolated eyebrows and eyelashes alopecia suggesting of TM. Patients and Method： Seven children and young adult patients who referred with recalcitrant eyebrows and eyelashes alopecia were diagnosed as TM based on the clinical criteria for TM. The hair specifications for TM were include： hairs are broken at different levels, they may be tufted, tortuous and some hair fibers may be abnormally longer than others. The hair follicles may be prominent. The patients and their parents studied for psychopathology using a semistructured interview based on the Diagnostic Statistical manual of Psychiatric disorders （DSM-1V） and maudsley inventory. Results： Our clinical study, interview with the patients and their parents and the clinical criteria used to differentiate TM from AA all support the clinical diagnosis of TM. The patients and their parents mainly suffered from obsessive-compulsive disorders （OCD） and obsessive- compulsive spectrum disorders （OCSDs） . Conclusion： TM as a hair pulling habit in patients with underlying psychopathology can be considered in cases with isolated eyebrows and eyelashes alopecia when the hair are broken at different levels.

关 键 词：拔毛癖 睫毛 眉毛 单独 斑秃 青年患者 临床研究 疾病诊断 临床标准 统计手册 

分 类 号：R749.99[医药卫生—神经病学与精神病学] R779.6[医药卫生—临床医学]