eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2022
vol. 39
 
Share:
Share:
more
 
 
abstract:
Original paper

Trichopsychodermatology: trichotillomania and trichophagia leading to Rapunzel syndrome

Krzysztof Balawender
1
,
Anna Pliszka
1
,
Klaudia Możdżeń
1
,
Michał Kłos
1
,
Anna Ogorzałek
1
,
Dariusz Boroń
2, 3
,
Beniamin O. Grabarek
2, 3

1.
Morphological Sciences Department of Human Anatomy, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
2.
Department of Histology, Cytophysiology and Embryology, Faculty of Medicine in Zabrze, University of Technology in Katowice, Poland
3.
Department of Gynecology and Obstetrics, Faculty of Medicine in Zabrze, University of Technology in Katowice, Poland
Adv Dermatol Allergol 2022; XXXIX (4): 739-743
Online publish date: 2022/01/09
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
The Rapunzel syndrome occurs when the trichobezoar (hair ball) extends beyond the small intestine and sometimes even into the colon, producing long, tail-like hair extensions.

Aim: To present cases of trichobezoars, an extremely rare human intestinal disease caused by the ingestion of hair (trichophagia).

Material and methods
In this retrospective study, we assessed the medical records of two patients diagnosed with Rapunzel syndrome admitted to Academic Clinical Hospital No. 2 in Rzeszow, Poland.

Results
The first patient was a 15-year-old girl. The abdominal ultrasound examination revealed an abnormal, non-compressible structure with the approximate dimensions of 12 × 11 cm in the epigastrium, with a strong shadow obscuring the view. Gastroscopy was performed and a tumour sample was taken for histopathological examination, which confirmed the diagnosis of a trichobezoar. The patient’s mother did not agree to her daughter’s psychiatric treatment. The second patient was a 15-year-old girl who reported to the Emergency Room in critical condition due to dehydration and long-term emesis with symptoms of cachexia. Ileotomy with the removal of two trichobezoars with a diameter of about 5 cm and 7 cm was performed. The patient was discharged for treatment at the Mental Health Clinic for trichotillomania.

Conclusions
Trichobezoars give non-specific symptoms that may imitate other diseases for example tumours. Psychotherapy is the recommended treatment and follow-up visits are important in preventing relapses.

keywords:

Rapunzel syndrome, non-specific symptoms, diagnosis, psychiatric treatment

Quick links
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.