Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?

Detalhes bibliográficos
Autor(a) principal: Antunes, Marta
Data de Publicação: 2023
Outros Autores: Aguiar , Inês
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v32.i1.25482
Resumo: Introduction: Psychostimulants, especially methylphenidate (MPH), are established treatments for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. Their common side effects are well known, and, although trichotillomania (TTM) and obsessive-compulsive symptoms (OCS) are not formally listed among them, they are reported in the literature. This study describes a case of TTM and OCS associated with the use of MPH. Clinical Case: A nine-year-old boy was referred to the Infant and Adolescence Psychiatry consultation due to obsessive thoughts and TTM. He presented to the first appointment already medicated with immediate-release MPH. Discussion: The time span between MPH intake and the presentation of TTM and OCS, together with their resolution in the absence of MPH, raised clinical suspicion of an association between MPH and these conditions. Conclusion: Although TTM and OCS can coexist with ADHD, it was not until MPH exposure that they were observed in the present case.
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spelling Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?Tricotilomania, sintomas obsessivo-compulsivos e metilfenidato − Que relação?Case ReportsIntroduction: Psychostimulants, especially methylphenidate (MPH), are established treatments for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. Their common side effects are well known, and, although trichotillomania (TTM) and obsessive-compulsive symptoms (OCS) are not formally listed among them, they are reported in the literature. This study describes a case of TTM and OCS associated with the use of MPH. Clinical Case: A nine-year-old boy was referred to the Infant and Adolescence Psychiatry consultation due to obsessive thoughts and TTM. He presented to the first appointment already medicated with immediate-release MPH. Discussion: The time span between MPH intake and the presentation of TTM and OCS, together with their resolution in the absence of MPH, raised clinical suspicion of an association between MPH and these conditions. Conclusion: Although TTM and OCS can coexist with ADHD, it was not until MPH exposure that they were observed in the present case.Introdução: Os psicoestimulantes, particularmente o metilfenidato, são tratamentos estabelecidos para o tratamento da perturbação de hiperatividade e défice de atenção (PHDA) em idade pediátrica. Os efeitos adversos desta classe farmacológica são bem conhecidos e, apesar da tricotilomania e sintomas obsessivo-compulsivos não estarem formalmente identificados entre eles, estão descritos em casos na literatura. O presente estudo reporta um caso de tricotilomania e sintomas obsessivos-compulsivos associados ao uso de metilfenidato. Caso Clínico: Um rapaz de nove anos de idade foi referenciado à consulta de Pedopsiquiatria por pensamentos obsessivos e tricotilomania. À data da primeira consulta, encontrava-se já medicado com metilfenidato de libertação imediata. Discussão: A associação temporal entre o início da toma de metilfenidato e a apresentação de sintomas e a resolução dos mesmos após a suspensão do fármaco sugerem uma relação causal. Conclusão: Embora estas entidades possam ser comórbidas, neste caso o quadro surgiu após a exposição a metilfenidato.Centro Hospitalar Universitário de Santo António2023-06-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v32.i1.25482eng2183-9417Antunes, MartaAguiar , Inêsinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-06-29T17:00:24Zoai:ojs.revistas.rcaap.pt:article/25482Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:01:42.761898Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
Tricotilomania, sintomas obsessivo-compulsivos e metilfenidato − Que relação?
title Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
spellingShingle Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
Antunes, Marta
Case Reports
title_short Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
title_full Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
title_fullStr Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
title_full_unstemmed Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
title_sort Trichotillomania, obsessive-compulsive symptoms, and methylphenidate − Is there a link?
author Antunes, Marta
author_facet Antunes, Marta
Aguiar , Inês
author_role author
author2 Aguiar , Inês
author2_role author
dc.contributor.author.fl_str_mv Antunes, Marta
Aguiar , Inês
dc.subject.por.fl_str_mv Case Reports
topic Case Reports
description Introduction: Psychostimulants, especially methylphenidate (MPH), are established treatments for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents. Their common side effects are well known, and, although trichotillomania (TTM) and obsessive-compulsive symptoms (OCS) are not formally listed among them, they are reported in the literature. This study describes a case of TTM and OCS associated with the use of MPH. Clinical Case: A nine-year-old boy was referred to the Infant and Adolescence Psychiatry consultation due to obsessive thoughts and TTM. He presented to the first appointment already medicated with immediate-release MPH. Discussion: The time span between MPH intake and the presentation of TTM and OCS, together with their resolution in the absence of MPH, raised clinical suspicion of an association between MPH and these conditions. Conclusion: Although TTM and OCS can coexist with ADHD, it was not until MPH exposure that they were observed in the present case.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-23
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v32.i1.25482
url https://doi.org/10.25753/BirthGrowthMJ.v32.i1.25482
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário de Santo António
publisher.none.fl_str_mv Centro Hospitalar Universitário de Santo António
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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