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Obsessive-Compulsive & Related Disorders - Differential Diagnosis Algorithm

Non-Specific Obsessions and/or Compulsions
- Obsessive Compulsive Disorder -

Appearance - Trichotillomania ... Compulsions #OCD #ObsessiveCompulsive

Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
• Scarring Alopecia:

Tinea Capitis, Trichotillomania ... postoperative) alopecia ... , Traction alopecia ... : • Scarring Alopecia ... totalis, Alopecia

Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
• Lupus

Hair Loss (Alopecia ... • Androgenetic alopecia ... facial hair) • Alopecia ... Brocq • Alopecia ... capitis • Trichotillomania

Focal / Localized Hair Loss (Alopecia) - Differential Diagnosis Algorithm

Scarring - Irreversible-biopsy required
- Infectious

Localized Hair Loss (Alopecia ... Brocq • Alopecia ... capitis • Trichotillomania ... • Traction alopecia ... Absent • Alopecia

Secondary Disseminated Syphilis

Case from my residency that @EstradaElJefe helped me publish in JGIM. One important finding

is the patchy alopecia ... Photo #SkinRash #Alopecia

This trichobezoar was extracted from a teenage patient with trichotillomania (hair-pulling disorder) & trichophagia (compulsive hair-eating).

teenage patient with trichotillomania ... surgery #extraction #trichotillomania

TACROLIMUS - Side Effects Mnemonic

Tremor
Alopecia
Cardiovascular (HTN)
Renal insufficiency
Oncologic (Skin Cancer)
Lipids (hyperlipidemia)
Insulin

Mnemonic Tremor Alopecia

Obsessive-Compulsive Disorder (OCD): Pathogenesis and clinical findings

Psychological Hypothesis
• Cognitive behavioral model: Emotional disturbance arising from

consequences #OCPD #ObsessiveCompulsive

Primary Dermatologic Nail Disorders - Differential Diagnosis Algorithm
Nail Plate - Pitting
• Psoriasis
• Alopecia Areata
Nail

Psoriasis • Alopecia

Colchicine Toxicity
Naturally-occurring plant alkaloid [Autumn Crocus and Glory Lilly]
2-24 hrs
• Severe GI distress

• Transient alopecia

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