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Trichobezoars in Trichotillomania: Case Report and Literature Overview

Bouwer, Colin MBChB, MSc, MRCP, M, Med (Psych); Stein, Dan J. BSc (Med), MBChB, FRCPC

Case Report

Objective Although trichobezoars are well described in the surgical literature, there is relatively little in the psychiatric literature on them. This study aims to focus the attention of readers on trichobezoars by means of a case report and an overview of the literature.

Method We present a case of a patient with trichotillomania and a trichobezoar, including psychiatric management. We also briefly review the relevant literature.

Results Hair-pulling significantly improved in response to treatment with the selective serotonin reuptake inhibitor fluoxetine and supportive psychotherapy.

Conclusions The medical and psychiatric sequelae of trichotillomania should not be underestimated. Pharmacotherapy may be play a useful role in some patients with this disorder.

From the Department of Psychiatry, University of Stellenbosch, Tygerberg, South Africa.

Address reprint requests to: Dan J. Stein, University of Stellenbosch, Department of Psychiatry, PO Box 19063, Tygerberg, 7505, South Africa. E-mail:

Received for publication August 13, 1997; revision received December 15, 1997.

Copyright © 1998 by American Psychosomatic Society
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