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Untreated Trichotillomania and Trichophagia: Surgical Emergency in a Teenage Girl

Received May 27, 2004; revision received Oct. 8, 2004; accepted Oct. 28, 2004. From the Department of Psychiatry and the Department of Surgery, Temple University School of Medicine. Address correspondence and reprint requests to Dr. Baron, Temple University Health Sciences Center, Department of Psychiatry, Jones Hall, 8th Floor, 1316 West Ontario St., Philadelphia, PA 19140.

Trichophagia secondary to trichotillomania can be a potentially life-threatening condition if left untreated. This report documents the unique case of a 16-year-old girl whose untreated trichotillomania led to a trichobezoar requiring surgical intervention and follow-up psychiatric treatment. Challenges in the identification and treatment of the disorder and its complications are discussed as well as the importance of early and accurate diagnosis.

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