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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Trichotillomania, Bipolar Disorder and White Matter Hyperintensities in a Six-Year Old Girl
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Trichotillomania, Bipolar Disorder and White Matter Hyperintensities in a Six-Year Old Girl

机译：六岁女孩的毛滴虫病，双相情感障碍和白色物质高信号

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A six-year-old girl was referred to our child psychiatry outpatient clinic by the Pediatric Neurology Unit with a diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) and trichotillomania. She had neither eyebrows nor eyelashes. The clinical picture was of irritability, frequent tantrums, and aggressive behaviour. During the following year she presented several brief episodes of intense mood changes, which typically started with night-time onset trichotillomania and sleep disturbance. The episodes lasted no longer than five days and recurred within one or two months. A diagnosis of pediatric bipolar disorder (BD) was made after the first months of clinical follow-up. An MRI showed focal white matter hyperintensities (WMH) in T2.
机译：儿科神经病学科将一名六岁女孩转诊至我们的儿童精神病门诊，诊断为注意力缺乏/多动障碍（ADHD）和毛滴虫病。她既没有眉毛也没有睫毛。临床表现为烦躁，发脾气和攻击性行为。在接下来的一年中，她出现了几次短暂的剧烈情绪变化，通常是夜间发作的毛滴虫病和睡眠障碍开始的。发作持续不超过五天，并在一两个月内复发。在临床随访的头几个月后，诊断出小儿双相情感障碍（BD）。 MRI显示T2出现局灶性白质高信号（WMH）。

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