plucking mania
Introduction
Introduction to plucking The plucking of madness refers to the impulsive behavior of repeatedly refraining from pulling out his hair. In 1889, Hallopeau first reported. The disease may be a single symptom or it may be associated with certain serious mental illnesses such as mental retardation, depression, anxiety, schizophrenia, obsessive-compulsive disorder and drug addicts. The prevalence of children with plucking is 7 times that of adults, and the prevalence of women is 2.5 times that of men. Preschool boys are more susceptible to illness. basic knowledge Sickness ratio: 0.0001% Susceptible people: good for preschool boys Mode of infection: non-infectious Complications: abdominal pain constipation intestinal obstruction
Cause
Hair madness
Cause:
Some people think that family dynamics may be the cause of ticks and the persistence of symptoms, such as parents' temperament, negative, non-fulfilment of parental functions, no contact with children; parents or children hostile or severe health search is the family of female juvenile patients The main mode, multiple fixed points in each stage of sexual psychological development may be the pathological and psychological reasons for this disease. It is reported that the clinical manifestations of patients with ticks and obsessive-compulsive disorder are similar, and the incidence of obsessive-compulsive disorder is higher in first-degree relatives. The use of serotonin-based antidepressants that control the symptoms of obsessive-compulsive patients, such as clomipramine and fluoxetine (fluoxetine), is equally effective in treating plucking ticks. Therefore, plucking mites may be considered as one of obsessive-compulsive disorder. Subtype.
Pathogenesis:
Some people think that family dynamics may be the cause of ticks and the persistence of symptoms, such as parents' temperament, negative, health search does not fulfill the functions of parents, not contact with children; parents or children are hostile or severe is the family of female teenagers The main mode, multiple fixed points in each stage of sexual psychological development may be the pathological and psychological reasons for this disease. It is reported that the clinical manifestations of patients with ticks and obsessive-compulsive disorder are similar, and the incidence of obsessive-compulsive disorder is higher in first-degree relatives. The use of serotonin-based antidepressants that control the symptoms of obsessive-compulsive patients, such as clomipramine and fluoxetine (fluoxetine), is equally effective in treating plucking ticks. Therefore, plucking mites may be considered as one of obsessive-compulsive disorder. Subtype.
Prevention
Plucking prevention
Prevention: Encourage patients to build confidence in curing diseases and eliminate mental stress. Arrange for work and study, and actively participate in collective activities such as stylistics to divert attention from the disease. There is no relevant Chinese medicine treatment for this disease. Please consult the relevant professional doctors in detail.
Some patients can be cured with simple psychological counseling and advice. Severe patients require strong behavioral and cognitive psychotherapy and medication. If the patient is associated with depression, they are treated with monoamine oxidase inhibitors and tricyclic antidepressants. Effective, autistic children with plucking symptoms treated with fluoxetine or clomipramine, the disease has a good prognosis, dermatology, pediatrics and psychiatrists work together to eliminate the physical factors of the disease and It is important to improve the efficacy.
Complication
Plucking complication Complications abdominal pain constipation intestinal obstruction
Swallowed hair can cause abdominal pain, anorexia, constipation, formation of hairy stones or scum in the digestive tract, leading to complications such as intestinal obstruction, intestinal perforation, intestinal bleeding, acute pancreatitis and obstructive jaundice.
Symptom
Plucking symptoms Common symptoms Constipation digestive tract inside the stone or ... Abdominal pain anorexia hair loss hair loss alopecia areata
The patient removes his hair by hand or with iron clips and tweezers. The same patient's plucking site is fixed, but different patients have different hair plucking parts, which are more common in the top, frontal and occipital hairs. However, eyebrows, eyelashes, bristles and pubic hair can also be affected. The hair that has been regenerated after being removed is still removed repeatedly. The scalp often has large hair loss, which is shaped like alopecia areata, but the boundaries are not neat, and there are often residual hair and hair loss at the hair loss. Older patients, deny their own plucking behavior, plucking often occurs in bed rest, reading, watching TV or doing homework, the symptoms are sustainable or intermittent, some patients use their hands to tear the hair or use scissors The hair is cut, which is called trichckryptomania. The patient pulls and eats his own hair, called trichotillophagimania. The swallowed hair can cause abdominal pain, anorexia, constipation, dilute stones or scum. Formation, leading to complications such as intestinal obstruction, intestinal perforation, intestinal bleeding, acute pancreatitis and obstructive jaundice.
Examine
Pluck check
Different patients have different hair extraction sites. More common in the top, frontal and occipital hair, but eyebrows, eyelashes, mane and pubic hair can also be affected.
Diagnosis
Diagnosing diagnosis
According to clinical manifestations, patients often use their hands or use iron clips and tweezers to force their hair to be removed.
