少年拔毛癖和抑郁症共病1例  

A Case of Comorbid Disorders of Trichotillomania and Depression in an Adolescent

作　　者：冉昕[1] 郭兰婷[2] 冉玉平[3] 邓丹琪[1] 

机构地区：[1]昆明医科大学附属第二医院皮肤性病/风湿免疫科,云南昆明650101 [2]四川大学华西医院心理卫生中心,四川成都610041 [3]四川大学华西医院皮肤性病科,四川成都610041

出　　处：《中国皮肤性病学杂志》2014年第4期394-395,共2页The Chinese Journal of Dermatovenereology

摘　　要：患者男,16岁,头顶毛发稀疏3年。皮肤科情况:头顶部不完全性脱发,地图状不规则脱发斑,边界清楚,形状怪异,以头顶和靠近双手可触及处为甚,脱发区毛发疏密及长短不一。皮肤镜检查:见大量毛发断端,断发残端发梢破裂及卷曲。心理测验:轻度抑郁症状和轻度焦虑。诊断:少年拔毛癖和抑郁症共病。使用心理治疗和选择性5-羟色胺再摄取抑制剂舍曲林治愈。A 16-year-old male presented with hypotrichosis for 3 years. Physical examination showed incomplete hair loss of scalp, geographic alopeeia patch, clear boundary, unusual form, especially the top and edge of the head where were easy to the reach of his hands. The hairs in this area differ in the density and length. Dermatoscopy observation showed the broken hairs and the stumps of broken hairs were fractured and curl. Psychiatric assessment indicated mild depression and anxiety. The diagnosis was eomorbid trichotillomania and depression. The patient was treated with psychological therapies and oral sertraline, the selective serotonin reuptake inhibitor（SSRI）.

关 键 词：拔毛癖 抑郁症 皮肤镜 舍曲林 

分 类 号：R749.4[医药卫生—神经病学与精神病学]