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患儿男性,14岁,初二学生。系其母第二胎,幼年时生长发育正常。性格外向、活泼。八岁上学,学习成绩可,与同学相处好。家族史阴性。其自幼顽皮,常遭父亲毒打。小学四年级出现控制不住地拨头发、眉毛,多在睡前或看电视时,不拔难受,拔了心情则轻松,常将二十几根头发拧在一起同时拔起,无疼痛感,致眉毛全无,头发大片秃光。初中一年级出现不自主张嘴、挤眉弄眼,伴喉咙发出怪声,咬指甲,学习成绩下降,初二开始到南京儿童心理卫生研究所诊治,查体除眉毛全无,两颞部、
Children with children, 14 years old, sophomore. Department of his mother’s second child, normal growth and development at infancy. Outgoing personality, lively. Eight years old school, academic performance can be, get along well with classmates. Negative family history. Since childhood naughty, often beaten by his father. Fourth grade primary school can not control dial hair, eyebrows, more before going to bed or watching TV, do not pull uncomfortable, pull the mood is relaxed, often more than twenty root hair twist together at the same time up, no pain, caused by No eyebrows, bald hair bald. The first grade of junior high school appeared involuntarily mouth, wink, with throat strange sound, biting nails, academic performance decreased, the beginning of the second year to Nanjing Institute of Child Psychology, diagnosis and treatment, physical examination except eyebrows, two temporal,