A Rare Known Topic 'Rapunzel Syndrome': A Case Report

Trichobezoars are concretions of hair casts in the stomach associated with trichotillomania and trichophagia. The Rapunzel syndrome is a rare form of gastric trichobezoar with a tail like extension into the intestine. The incidence of trichotillomania is between 0.6-1.6%. Trichophagia is observed in 30% of these patients, and only 1% of them have trichobezoars that require surgery. Trichobezoars are often accompanied by psychiatric disorders and are usually observed in adolescent girls. Although the underlying cause of trichotillomania and trichophagia, is not completely known, predisposing psychopathologic factors include emotional factors such as stress, restless family environment, loss of mother and /or father, and school change. The treatment of trichotillomania usually involves participation of both psychiatrists and dermatologists. In this study, we presented a case of 18 years old woman who was referred to the psychiatry outpatient clinic after admission of dermatology with complaint of hair loss