CASE REPORT:
The index case is a 25-year-old graduate who was brought to the
outpatient department (OPD) by her mother with involuntary hair-pulling
of one-year duration. On examination, she had patches of baldness over
her head, mainly over the crown region (Figure 1). She would pull
strands of hair as she felt restless and began pacing around the room.
Initially it occurred 3-4 times daily, later progressed to 8-10 episodes
for the past 2 months due to exam stress. Other than scalp hair, this
behavior did not involve the eyebrows, armpits or pubic area.