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April 10, 1915


Author Affiliations

Kansas City, Mo.

JAMA. 1915;LXIV(15):1236. doi:10.1001/jama.1915.02570410034015

The recent article on trichotillomania1 drew my attention to the fact that I have had an example of this peculiar disorder under my care during the past year. The patient, C. L., American, is a boy, aged 4 years. There are three other children, all apparently normal in every way, and the family history discloses nothing of cutaneous or neurologic interest. The patient was raised on the breast, and is a well-nourished, sturdy little fellow, 3 feet and 4 inches tall, and weighs 40 pounds. Like his brother and sisters, he sucked his fingers up to the time he was 18 or 20 months old. He has never suffered from chorea or spasms of any kind. About one year ago his mother first noticed that he had acquired the habit of jerking hairs out of the left side of his scalp. The operation was performed with either hand, although