Background: Trichophagia secondary to trichotillomania can be a potentially life-threatening condition if left untreated. Trichobezoars consist of hairballs in the lumen of the digestive tract; when it extends past the duodenum it is called Rapunzel Syndrome. Although trichobezoars are not uncommon, they are rare in psychiatric literature. The authors present a clinical case of Rapunzel syndrome and discuss some relevant aspects concerning the identification and treatment of this entity.
Pyoderma gangrenosum (PG) is a neutrophilic dermatosis of unknown etiology characterized by typical skin ulcers. It may be related to systemic disorders but its association with solid tumors is very unusual. In this setting, we describe a patient in whom PG was the first and isolated manifestation of advanced gastric adenocarcinoma.
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