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Onychotillomania is a compulsive behavior in which a person picks constantly at the nails or tries to tear them off. [1] It is not the same as onychophagia, where the nails are bitten or chewed, or dermatillomania, where skin is bitten or scratched.
The pressure of the blood blister may cause separation of nail plate from the nail bed (onycholysis), but the nail should not be pulled off, as this can cause scarring of the nailbed and deformed nails. [3] Nail discolouration may last some months. [4] The nail plate may also become thicker and more brittle as a result of the injury ...
Blisters in particular can cause a feeling of desire to pull or bite off the affected skin and nails (since the skin is dead, thus easily pulled off), which could be detrimental, causing infection. Another disorder, known as excoriation disorder , the repetitive action of uncontrollably picking at one's skin, can sometimes accompany dermatophagia.
Removed nails are capable of growing back normally over several months if the nail matrix is left intact through surgical extraction. However, if the matrix is damaged by trauma, it can result in an overgrowth of tissue from the proximal nail fold, resulting in the formation of pterygium. Particularly, if the nail matrix is burnt by a heated ...
Trauma to the nail can cause the nail plate to be torn from the nail bed. [17] Unlike other types of avulsion, when a nail is lost, it is not typically reattached. Following the loss of the nail, the nail bed forms a germinal layer which hardens as the cells acquire keratin and becomes a new nail. [18]
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The fingers have been compulsively picked and chewed in someone with excoriation disorder and dermatophagia. Compulsive picking of the face using nail pliers and tweezers. Episodes of skin picking are often preceded or accompanied by tension, anxiety, or stress. [6] In some cases, following picking, the affected person may feel depressed. [5]
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