Childhood onset trichotillomania: a retrospective analysis of 78 cases visiting tertiary general hospital

Harshal Sathe, Sagar Karia, Chandan Narankar, Avinash Desousa


Background:Trichotillomania (TTM) is an irresistible urge to pull one’s own hair and is a relatively common cause of childhood alopecia.

Methods: This is a retrospective chart review of 78 children diagnosed with TTM from September 2009 to September 2014 done in psychiatry department of a tertiary general hospital of Mumbai, India.

Results:The scalp was found to be the main site for hair pulling in most of them. Other comorbid psychiatric illnesses seen were attention deficit hyperactivity disorder (ADHD), conduct disorder and oppositional defiant disorder (ODD). Commonly prescribed medications were selective serotonin reuptake inhibitors (SSRIs) like fluoxetine and escitalopram. Next drug widely used were second generation antipsychotics like aripiprazole.

Conclusions:This is the largest collection of childhood TTM cases published so far in Asia at least to the best of our knowledge.  


Alopecia, Childhood, Comorbidity, Trichotillomania

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