Onychotillomania

Combes, Frank C.

doi:10.1001/archderm.1951.01570060106015

Cited by 17 publications

(6 citation statements)

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“…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 …”

Section: Discussionmentioning

confidence: 99%

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Onychotillomania: clinicopathologic correlations

2013

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Onychotillomania represents an unusual dermatosis affecting the nail unit. The term refers to 'neurotic picking at a nail until it is permanently altered'. It can be difficult for dermatologists to diagnose, as typically patients will deny the self-destructive behavior and the clinical features may mimic other inflammatory conditions affecting the nail unit. Aside from the difficulty in establishing the diagnosis clinically, the histopathologic features of onychotillomania are nonspecific. With this limited knowledge, dermatopathologists could have difficulty in correlating the clinical and histopathologic features and determining the correct diagnosis. Establishing the diagnosis is critical, as onychotillomania is sometimes associated with major depression and obsessive-compulsive disorder, and can be a clue to uncovering these debilitating psychiatric disorders. Here we present two cases of onychotillomania and emphasize the clinical-pathological confrontation necessary to secure the diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Discussionmentioning

confidence: 99%

Onychotillomania: clinicopathologic correlations

2013

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“…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.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 93%

Onychotillomania

1985

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“…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 ].…”

Section: Onychophagia and Onychotillomaniamentioning

confidence: 99%

Update on Diagnosis and Management of Onychophagia and Onychotillomania

Lee

Lipner

2022

IJERPH

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Onychophagia (nail biting) and onychotillomania (nail picking) are chronic nail conditions categorized as body-focused repetitive behavior (BFRB) disorders. Due to a limited awareness of their clinical presentations, embarrassment on the part of patients, and/or comorbid psychiatric conditions, these conditions are frequently underrecognized and misdiagnosed. This article reviews the prevalence, etiology, diagnostic criteria, historical and physical exam findings, and treatment options for these conditions. The PubMed/MEDLINE database was searched for relevant articles. Onychophagia and onychotillomania are complex disorders necessitating a detailed patient history and physical examination and a multidisciplinary treatment approach for successful diagnosis and management. Due to the dearth of clinical trials for treatment of nail biting and nail picking, large clinical trials are necessary to establish standardized therapies.

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Onychotillomania

Cited by 17 publications

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Onychotillomania: clinicopathologic correlations

Onychotillomania: clinicopathologic correlations

Onychotillomania

Update on Diagnosis and Management of Onychophagia and Onychotillomania

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