A case of trichotillomania successfully treated with N-acetylcysteine = A case of trichotillomania successfully treated with N-acetylcysteine

다국어 초록 (Multilingual Abstract)

Trichotillomania is a medical condition caused by the patient himself by pulling out of own hair, resulting in a perceptible hair loss pattern that frequently is associated with other psychiatric processes. Generally has a chronic course in most patients, and a challenging therapeutical management. There are several available options for treatment, but the clinical response is not satisfactory in many patients. Recently, N-acetylcysteine, a glutamate modulator, has shown efficacy in the treatment of trichotillomania and other compulsive behaviors, and is considered a new alternative in the management of this condition. We describe a patient with trichotillomania successfully treated with N-acetylcysteine.. The patient was a 14-year-old man that attended at our outpatient Department of Dermatology with 12*10cm sized hair loss on vertex. He presented bizarre hair loss appearance with broken and cork-screwed hairs. The hairs had different lengths on dermoscopic examination. Complete regrowth was observed after introducing N-acetylcysteine 800 mg/day during 2 months and 1600 mg/day during 3months.