{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:46:31Z","timestamp":1792007191210,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2003,1,21]],"date-time":"2003-01-21T00:00:00Z","timestamp":1043107200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p> <jats:italic>Hintergrund:<\/jats:italic> Unter den physikalischen Sch\u00e4digungen der Haare, die akzidentell, durch kosmetische Ma\u00dfnahmen oder durch den Patienten selbst verursacht werden, stellt die Trichotillomanie die h\u00e4ufigste selbst induzierte Form dar. Seltener ist die Trichotemnomanie, bei der die Haare vors\u00e4tzlich abgeschnitten werden. F\u00fcr eine weitere Variante des selbstzugef\u00fcgten Haarverlustes, bei dem es durch Scheuern und Kratzen am Kapillitium zur Pseudoalopezie kommt, schlugen Freyschmidt\u2010Paul et\u2005al. die Bezeichnung Trichoteiromanie vor.<\/jats:p><jats:p> <jats:italic>Patienten und Methodik:<\/jats:italic> Vier Patienten mit Trichoteiromanie werden klinisch, morphologisch und psychopathologisch weiter charakterisiert.<\/jats:p><jats:p> <jats:italic>Ergebnisse:<\/jats:italic> Im Unterschied zur Trichotillomanie finden sich bei der Trichoteiromanie histopathologisch keine diagnostisch wegweisenden Ver\u00e4nderungen, und das Trichogramm f\u00e4llt normal aus. Auff\u00e4llig sind als wei\u00dfliche Haarspitzen imponierende, ausgefranste Haarenden, die lichtmikroskopisch pinselartigen Haarbr\u00fcchen entsprechen. Bei allen Patienten fanden sich unterschiedliche zugrundeliegende St\u00f6rungen. In allen F\u00e4llen bestand aber eine Skalpdys\u00e4sthesie, die nicht auf eine spezifische dermatologische Kopfhauterkrankung zur\u00fcckzuf\u00fchren war.<\/jats:p><jats:p> <jats:italic>Schlu\u00dffolgerung:<\/jats:italic> W\u00e4hrend die Trichotillomanie psychopathologisch als St\u00f6rung der Impulskontrolle bzw. Zwangsst\u00f6rung aufgefa\u00dft wird, handelt es sich bei der Trichoteiromanie um eine weniger einheitliche St\u00f6rung. Die Kooperation mit einem Psychiater ist angezeigt, insofern als die Therapie und Prognose von der zugrundeliegenden psychopathologischen St\u00f6rung und ihrer spezifischen psychotherapeutischen und pharmakologischen Behandlung abh\u00e4ngen.<\/jats:p>","DOI":"10.1046\/j.1610-0387.2003.02012.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T14:03:37Z","timestamp":1047391417000},"page":"22-28","source":"Crossref","is-referenced-by-count":25,"title":["Trichoteiromanie"],"prefix":"10.1111","volume":"1","author":[{"given":"Stefanie","family":"Reich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph M.","family":"Tr\u00fceb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,1,21]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000248896"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1999.00006.x"},{"key":"e_1_2_5_4_2","first-page":"134","article-title":"Differential diagnosis in pediatric dermatology: trichotillomania\/battered child syndrome","volume":"3","author":"Tr\u00fceb RM","year":"1993","journal-title":"Eur J Pediatr Dermatol"},{"key":"e_1_2_5_5_2","first-page":"440","article-title":"Alopecie par grattage (Trichomanie ou Trichotillomanie)","volume":"10","author":"Hallopeau H","year":"1889","journal-title":"Ann Dermatol Syph (Paris)"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000285797"},{"key":"e_1_2_5_7_2","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/00332747.1963.11023342","article-title":"The psychopathology of trichotillomania and trichophagy","volume":"26","author":"Monroe JT","year":"1963","journal-title":"Psychiatry"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001050050343"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.122749"},{"key":"e_1_2_5_10_2","first-page":"67","article-title":"Trichotillomania in connection with alopecia areata","volume":"58","author":"Tr\u00fceb RM","year":"1996","journal-title":"Cutis"},{"key":"e_1_2_5_11_2","first-page":"444","article-title":"Chronische Pseudo\u2010Alopezie durch st\u00e4ndiges Kratzen (Kratz\u2010Pseudoalopezie)","volume":"75","author":"Runne U","year":"2000","journal-title":"Z Hautkr"},{"key":"e_1_2_5_12_2","first-page":"369","article-title":"Trichoteiromania","volume":"11","author":"Freyschmidt\u2010Paul P","year":"2001","journal-title":"Eur J Dermatol"},{"key":"e_1_2_5_13_2","volume-title":"Diagnostisches und statistisches Manual psychischer St\u00f6rungen DSM\u2010IV.","author":"Sass H","year":"1996"},{"key":"e_1_2_5_14_2","first-page":"407","article-title":"Personality and clinical characteristics in patients with trichotillomania","volume":"53","author":"Christenson GA","year":"1992","journal-title":"J Clin Psychiatr"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(86)70213-2"},{"key":"e_1_2_5_16_2","volume-title":"Seelische Faktoren bei Hautkrankheiten.","author":"Gieler U","year":"1995"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1159\/000256114"},{"key":"e_1_2_5_18_2","first-page":"175","article-title":"Trichotillomania \u2013 a clinicopathological study","volume":"83","author":"Mehregan AH","year":"1970","journal-title":"Arch Dermatol"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(18)30740-X"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(90)70186-L"},{"key":"e_1_2_5_21_2","first-page":"551","article-title":"Trichotemnomanie: Eine besondere Hautmanifestation eines hirnorganischen Psychosyndroms","volume":"19","author":"Braun\u2010Falco O","year":"1968","journal-title":"Hautarzt"},{"key":"e_1_2_5_22_2","first-page":"248","article-title":"Trichotillomanie. 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