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Disciplines Exam 2 SHEA > Tricho & Excoriation > Flashcards

Tricho & Excoriation Flashcards

1
Q
  • Recurrent pulling out of one’s own hair
  • Can involve any region of body
A

Trichotillomania

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2
Q

What 3 areas are most common for Trich?

A
  • Scalp
  • Eyebrows
  • Eyelids (lashes)

(But, sites may vary over time)

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3
Q

Is Tricho more common in females or males?

A

Females (10:1)

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4
Q

Onset of Trich usually occurs when?

A

Usually coincides w/ puberty

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5
Q

Is Trich genetic?

A

There is “some evidence” for genetic vulnerability

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6
Q

Hair pulling is associated w/ which 3 emotional states?

A
  • Anxiety
  • Boredom
  • Gratification

(and may involve varying degress of conscious awareness)

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7
Q

Tricho can lead to what 3 complications?

A
  • Irreversible damage to hair growth/quality
  • Swallowing (trichophagia) can lead to trichobezoars which can lead to bowel obstruction
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8
Q

2 comorbidities of Tricho

A
  • MDD
  • Excoriation disorder
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9
Q

Tx for Tricho?

A
  • 1st line: CBT
  • No large evidence on pharm therapy…
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10
Q

Recurrent picking at one’s own skin

A

Excoriation Disorder

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11
Q

Excoriation Disorder can involve any region of body, but what are the 3 most common areas?

A
  • Face
  • Arms
  • Hands
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12
Q

People w/ Excoriation Disorder are more likely to pick which 4 things on their body?

A
  • Healthy skin
  • Minor skin irregularities
  • Lesions (pimples or calluses)
  • Scabs (from previous picking)
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13
Q

Do males or females suffer more from Excoriation Disorder?

A
  • Females
  • >75% are female
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14
Q

When does Excoriation Disorder most commonly onset?

A

Adolescence (frequently begins w/ onset of acne)

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15
Q

Is Excoriation Disorder genetic?

A

Idiopathic

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16
Q

Feeling a loss of control, embarrassment, and shame

A

“distress”

17
Q

Skin picking of Excoriation Disorder is associated w/ which 3 emotional states?

A
  • Anxiety
  • Boredom
  • Gratification

(and varies in degree of conscious awareness)

18
Q

A majority of people w/ Excoriation Disorder spend how long each day picking, or thinking about picking, and resisting urge to pick?

A

At least 1 hour per day

19
Q

What are 3 risks of Excoriation Disorder?

A
  • Tissue damage
  • Scarring
  • Infections
20
Q

3 comorbidities of Excoriation Disorder?

A
  • OCD
  • MDD
  • Tricho
21
Q

What are the 3 primary tx of Excoriation Disorder?

A
  • CBT (to optimize pts mental state)
  • Pharm Therapies
  • Non - pharm therapies
22
Q

What are the 2 pharm therapies for Exocoriation Disorder?

A
  • SSRI
    • Sertraline
    • Fluoxetine
  • Dermatologic tx
    • Topical/oral Abx
    • Topical corticosteroids
    • Acne therapy
23
Q

What are the 2 non-pharm therapies for Excoriation Disorder?

A
  • Laser therapy to reduce scarring
  • Specialized bandages to assist w/ wound healing

Disciplines Exam 2 SHEA (11 decks)

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