Update on Diagnosis and Management of Onychophagia and Onychotillomania

被引：14
作者：
Lee, Debra K. [1 ]
Lipner, Shari R. [2 ]
机构：
[1] Texas Tech Univ, Paul L Foster Sch Med, Hlth Sci Ctr El Paso, El Paso, TX 79905 USA
[2] Weill Cornell Med, Dept Dermatol, New York, NY 10021 USA
来源：
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2022年 / 19卷 / 06期
关键词：
body-focused repetitive behavior; BFRB; onychophagia; nail biting; onychotillomania; nail picking; HABIT-REVERSAL; SKIN-PICKING; NERVOUS HABITS; ORAL HABITS; NAIL; DISORDER; BEHAVIOR; OSTEOMYELITIS; MANIFESTATION; PREVALENCE;
D O I：
10.3390/ijerph19063392
中图分类号：
X [环境科学、安全科学];
学科分类号：
08 ; 0830 ;
摘要：
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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页数：17
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