Rapunzel syndrome: A rare cause of hypoproteinaemia and review of literature

Waqas Ullah, Kaiser Saleem, Ejaz Ahmad, Faiz - Anwer

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Rapunzel syndrome is an extremely rare condition associated with trichophagia (hair eating disorder) secondary to a psychiatric illness called trichotillomania (hair-pulling behaviour). It is most commonly seen in children and adolescents. Untreated cases can lead to a number of complications. We present a case of a middle-Aged woman with sudden intractable vomiting and constipation associated with bilateral pedal oedema and significant weight loss. Laboratory investigations revealed low serum protein levels. Laparotomy was performed, and a hairball was removed from her stomach and ileum. The patient was managed with the help of a psychiatrist and was given nutritional support. We performed a comprehensive search and summarised data for a total of 88 cases. No time or language limit was placed. The purpose of this discussion is to highlight the clinical spectrum of Rapunzel syndrome and also to report its rare association with hypoproteinaemia.

Original languageEnglish (US)
Article numberA376
JournalBMJ Case Reports
Volume2016
DOIs
StatePublished - 2016

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Hypoproteinemia
Hair
Psychiatry
Trichotillomania
Nutritional Support
Constipation
Ileum
Laparotomy
Vomiting
Foot
Blood Proteins
Weight Loss
Edema
Stomach
Language
Feeding and Eating Disorders

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rapunzel syndrome : A rare cause of hypoproteinaemia and review of literature. / Ullah, Waqas; Saleem, Kaiser; Ahmad, Ejaz; Anwer, Faiz -.

In: BMJ Case Reports, Vol. 2016, A376, 2016.

Research output: Contribution to journalReview article

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