Onychotillomania

Onychotillomania: clinicopathologic correlations

“…Onychotillomania has been associated with mental illness, including obsessive‐compulsive disorder, major depression, a fixed hypochondrial delusion or delusion of infestation . In one reported case, an elderly patient presented to the dermatologist with evidence of onychotillomania was ultimately diagnosed with major depressive disorder, including psychotic symptoms, and committed suicide …”

“…Occlusive dressings have been used with success to treat onychotillomania. Psychoactive medications that have been used include pimozide, amitriptyline, thioridazine, clomipramine, fluoxetine, citalopram, and zolpidem . Psychotherapy, specifically cognitive‐behavioral therapy, has proven helpful.…”

Onychotillomania

“…Various psychological factors predispose to the development of onychotillomania. The patient reported by Combes and Scott [2] had delusion of infestation with the symp toms focused on the nails. Although the un derlying causative psychological factor re mained undetected the patient improved with local occlusive dressings.…”

“…It manifests itself clinically with an irresistible desire to rub, pick or tear the nails resulting in their gradual destruction and mutilation. Very few cases of this interesting condition have been recorded in the literature [1][2][3]. In view of its rarity and of the paucity of the li terature we here report 2 cases of onychotil lomania seen recently in our outpatient de partment.…”

Update on Diagnosis and Management of Onychophagia and Onychotillomania

“…Psychiatric disorders are often comorbid with onychotillomania, namely depression, anxiety, and psychosis. In 29 onychotillomania cases, eight were associated with depression with or without psychosis [ 48 , 49 , 50 , 51 , 52 , 53 , 54 ], four with general anxiety disorder, adjustment disorder, or specific phobias [ 2 , 55 , 56 ], and two with psychosis and hypochondrial delusions [ 57 , 58 ]. In one case, there were no psychiatric comorbidities, and for the remaining 14 cases no psychiatric evaluations were performed [ 59 , 60 , 61 , 62 , 63 ].…”