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Rehabilitation of a 13-Year History of Habitual Tic-Induced Nail Dystrophy.
J Cosmet Dermatol
November 2024
Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital, Shanghai, China.
Background: Habitual tic nail dystrophy is a prevalent condition among adults; however, it has received limited scholarly attention.
Aims: This study aims to report the case of habitual tic nail dystrophy with a duration of 13 years.
Methods: The patient was advised to modify his lifestyle habits and was followed up regularly over the course of 1 year to assess changes in the appearance of his nails.
Onychotillomania in the course of depression: a case report.
Acta Derm Venereol
November 2014
Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
Emotional regulation, dissociation, and the self-induced dermatoses: clinical features and implications for treatment with mood stabilizers.
Clin Dermatol
June 2013
Department of Psychiatry, Schulich School of Medicine and Dentistry, University of Western Ontario, 585 Springbank Dr, Suite 101, London, ON, N6J 1H3, Canada.
The self-induced dermatoses (such as trichotillomania, pathologic skin picking or neurotic excoriations, dermatitis artefacta, onychophagia and onychotillomania), which are caused as a result of excessive manipulation of the skin, hair, and nails by the patient, can contribute to significant morbidity and can even complicate the course of a primary dermatologic condition such as acne (eg, in acne excoriée) and some pruritic dermatoses. Reports on the self-induced dermatoses in the past decade have tended to focus upon the specific motor behaviors involved in self-inducing the lesions (ie, skin picking or hair pulling) rather than address the common psychopathologic factors underlying the self-injurious behaviors. In the current psychiatric nosology (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) the self-induced dermatoses are classified as Impulse Control Disorders and Stereotypic Movement Disorders, and this classification does not adequately consider the fact that in most patients with self-induced dermatoses, the frequency and severity of the self-injurious behaviors are directly related to acute or chronic problems with emotional regulation and dissociation.
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