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Derm Vivas

Derm Vivas ·

Trichotillomania — Viva

clinical1 min readVerification in progress
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Q1: Definition and styles (2 min)

Define trichotillomania. Contrast automatic and focused pulling styles.

Q2: Differential and trichoscopy (3 min)

How do you distinguish TTM from alopecia areata and tinea capitis clinically and on trichoscopy? List flame hair, V-sign and hair powder.

Q3: Behavioural therapy (2 min)

Explain habit reversal training and why behaviour therapy outranks SSRI monotherapy in evidence syntheses.

Q4: Drugs and age (2 min)

State Grant 2009 adult NAC findings versus Bloch 2013 paediatric null results. Role of clomipramine historically.

Q5: Emergency (1 min)

What is Rapunzel syndrome and when do you escalate to surgical/GI care?

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