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CLINICAL PRACTICE |
From the Department of Psychiatry at Drexel University School of Medicine (Dr Carr), and the Department of Psychiatry at Temple University School of Medicine (Drs Sholevar and Baron) in Philadelphia, Pa.
Address correspondence to David A. Baron, DO, MSEd, Chairman, Department of Psychiatry, Temple University, Temple Episcopal Campus, 3rd Floor, 100 E Lehigh Ave, Philadelphia, PA 19125-1012. E-mail: dbaron{at}temple.edu
Untreated trichophagia secondary to trichotillomania is a potentially life-threatening condition. Taking a thorough family and social history, most notably with the aid of a genogram or family tree, can aid in including this disorder in the differential diagnosis. This case presentation describes a unique occurrence of untreated trichotillomania in a female adolescent that led to formation of a trichobezoar requiring emergent surgical intervention and follow-up psychiatric treatment. This case highlights osteopathic medicine's fundamental concept of treating the whole person rather than just symptoms by considering factors such as genetic influences in understanding disease.
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