Causation

Functional Consequences of Trichotillomania (Hair-Pulling Disorder)

Functional consequences of trichotillomania may include:

  • Distress and social and occupational impairment.
  • Irreversible damage to hair growth and hair quality.
  • Infrequent medical consequences, including digit purpura (redness of fingers caused by twining the hair around them before pulling), musculoskeletal injury (e.g., carpal tunnel syndrome; back, shoulder, and neck pain), blepharitis (inflammation of eyelids), and dental damage (e.g., worn or broken teeth resulting from hair biting).
  • Swallowing of hair (trichophagia), which may lead to trichobezoars (hairballs), with subsequent anemia, abdominal pain, nausea, vomiting, bowel obstruction, and even bowel perforation.

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Updated 2026-07-02

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