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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Trichotillomania in celiac disease patient refractory to iron replacement

Tuğba Kalyoncu
  • Corresponding author
  • Ataturk Street, Kultur State No:113 Alsancak, Izmir, Turkey, Tel: +90 232 464 78 03, Fax: +90 232 433 07 56
  • Tepecik Training and Research Hospital, Department of Child and Adolescent Psychiatry, Izmir, Turkey
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Deniz Argüz Çıldır
  • Tepecik Training and Research Hospital, Department of Child and Adolescent Psychiatry, Izmir, Turkey
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Burcu Özbaran
  • Ege University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir, Turkey
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-08-05 | DOI: https://doi.org/10.1515/ijamh-2017-0027


Trichotillomania is characterized by recurring hair pulling behavior and repeated attempts to decrease or stop the behavior. This behavior can cause a trichobezoar, which is a mass of hair found in the stomach. Patients with diagnosed celiac disease may have an urge to swallow their hair due to iron or folat deficiency, which is called pica. We report a case of an 11-year old girl with celiac disease who has had trichotillomania for a duration of 2 years, and required an operation due to residual gastric hair mass. In this case trichotillomania was more likely caused by behavioral disorders secondary to celiac disease, rather than the iron deficiency due to malabsorption.

Keywords: celiac disease; iron deficiency; trichobezoar; trichotillomania

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About the article

Received: 2017-02-16

Accepted: 2017-05-26

Published Online: 2017-08-05

Citation Information: International Journal of Adolescent Medicine and Health, 20170027, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0027.

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