Body Focused Repetitive Behavior at an Unusual Site and in an Unusual Pattern: Symmetrical Trichotillomania

This case report describes a rare presentation of trichotillomania (TTM) in a 37-year-old male physician who exhibited symmetrical hair loss on his thighs due to compulsive hair pulling and skin picking, triggered by stress from upcoming exams. Unlike typical TTM cases that involve the scalp, eyebrows, or eyelashes, this case involved an unusual site and pattern, with no past or family history of similar behavior. The patient was referred to a psychiatrist for management. The report emphasizes the variability in body-focused repetitive behaviors (BFRBs) and the importance of awareness and treatment options, including psychotherapy and pharmacotherapy, despite the lack of proven effective treatments.