摘要
目的：報告一因罹患拔毛症而導致兩眼上眼瞼睫毛缺失的病例。 方法：病例報告。 結果：一位9歲男童因兩眼搔癢及時常揉眼睛而就診。病童之前並沒有眼睛方面疾病的病史，也沒有長期服用特殊藥物。經詳細檢查後發現兩眼上眼瞼睫毛稀疏並且有許多髮根截斷殘留現象。病患兩眼眼瞼緣並沒有明顯發炎病兆，病患毛髮稀疏現象只發現於兩眼睫毛，而眉毛及頭髮皆完好無缺。在懷疑是拔毛症所造成的情況下，將病人轉介給兒童心理科作進一步治療。 結論：拔毛症是一種「衝動控制疾患」，病患常反覆且無法抗拒的去拔除自己的頭髮、眉毛或睫毛。當病患是以拔睫毛的形式表現出來時，通常會有眼睛搔癢或不適感，眼科醫師時常扮演診斷的重要角色，因此可以早期發現並適時的將小朋友轉介給兒童心理科提早介入治療。同時眼科方面也能進一步追蹤斷裂睫毛的生長情形，來評估心理科治療的成效，如此才能讓家屬及病患本身得到最好的照顧。
關鍵字
無資料並列摘要
Purpose: To report a case of bilateral upper lid lash loss caused by trichotillomania. Methods: Case report. Result: A 9-years-old male patient suffering itching eyes complicated with frequently rubbing his bilateral eyes was medical consultation in our clinics. Neither history of significantly ocular diseases nor taking any medication was there. On examination, his bilateral upper eyelashes lost with many pointed hair roots were found. There was no evidence of inflammation of the lid margins and the rest of the ocular examination was normal. Under the suspicion of trichotillomania, he was transferred to psychiatrist for further evaluation and treatment. Conclusion: Trichotillomania characterized by uncontrollable to pull one's hair under stressful impulse is a rare disease, involving the eyelashes or eyebrows. Ophthalmologist, a key role, diagnoses the symptoms of a compulsive hair pulling disease associated with uncomfortable eye-itching and refers patients to psychiatrist for psychiatric therapeutic evaluations as soon as possible. Ophthalmologists also follow up the growth of hair residue of patients in combination of evaluation of psychiatric evaluation.