Tricho & Excoriation Flashcards
(23 cards)
- Recurrent pulling out of one’s own hair
- Can involve any region of body
Trichotillomania
What 3 areas are most common for Trich?
- Scalp
- Eyebrows
- Eyelids (lashes)
(But, sites may vary over time)
Is Tricho more common in females or males?
Females (10:1)
Onset of Trich usually occurs when?
Usually coincides w/ puberty
Is Trich genetic?
There is “some evidence” for genetic vulnerability
Hair pulling is associated w/ which 3 emotional states?
- Anxiety
- Boredom
- Gratification
(and may involve varying degress of conscious awareness)
Tricho can lead to what 3 complications?
- Irreversible damage to hair growth/quality
- Swallowing (trichophagia) can lead to trichobezoars which can lead to bowel obstruction
2 comorbidities of Tricho
- MDD
- Excoriation disorder
Tx for Tricho?
- 1st line: CBT
- No large evidence on pharm therapy…
Recurrent picking at one’s own skin
Excoriation Disorder
Excoriation Disorder can involve any region of body, but what are the 3 most common areas?
- Face
- Arms
- Hands
People w/ Excoriation Disorder are more likely to pick which 4 things on their body?
- Healthy skin
- Minor skin irregularities
- Lesions (pimples or calluses)
- Scabs (from previous picking)
Do males or females suffer more from Excoriation Disorder?
- Females
- >75% are female
When does Excoriation Disorder most commonly onset?
Adolescence (frequently begins w/ onset of acne)
Is Excoriation Disorder genetic?
Idiopathic
Feeling a loss of control, embarrassment, and shame
“distress”
Skin picking of Excoriation Disorder is associated w/ which 3 emotional states?
- Anxiety
- Boredom
- Gratification
(and varies in degree of conscious awareness)
A majority of people w/ Excoriation Disorder spend how long each day picking, or thinking about picking, and resisting urge to pick?
At least 1 hour per day
What are 3 risks of Excoriation Disorder?
- Tissue damage
- Scarring
- Infections
3 comorbidities of Excoriation Disorder?
- OCD
- MDD
- Tricho
What are the 3 primary tx of Excoriation Disorder?
- CBT (to optimize pts mental state)
- Pharm Therapies
- Non - pharm therapies
What are the 2 pharm therapies for Exocoriation Disorder?
-
SSRI
- Sertraline
- Fluoxetine
-
Dermatologic tx
- Topical/oral Abx
- Topical corticosteroids
- Acne therapy
What are the 2 non-pharm therapies for Excoriation Disorder?
- Laser therapy to reduce scarring
- Specialized bandages to assist w/ wound healing
