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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.
Cleaning under the nail is not recommended as this only serves to separate the nail further. Bandages are also to be avoided. [11] When kept dry and away from further trauma, the nail will reattach from the base upward (i.e., from proximal to distal). The aim of treatment is also to eliminate onychomycosis that is a major cause of onycholysis.
Nail biting may have an association with oral problems, such as gingival injury, and malocclusion of the anterior teeth. [2] [6] It can also transfer pinworms or bacteria buried under the surface of the nail from the anus region to the mouth. [2] If the bitten-off nails are swallowed, stomach problems can occasionally develop. [6]
Nail inspection can give hints to the internal condition of the body as well. Nail disease can be very subtle and should be evaluated by a dermatologist with a focus in this particular area of medicine. A nail technician may be the first to note a subtle change in nail health. [2] [3] [4]
Onychauxis presents with thickened nails without deformity, and this simple thickening may be the result of trauma, acromegaly, Darier's disease, psoriasis, or pityriasis rubra pilaris, or, in some cases, hereditary. [1]: 783 [2] It may appear as loss of nail palate translucency, discoloration, and subungual hyperkeratosis.
Mees' lines can look similar to injury to the nail, which should not be confused with true Mees' lines. [1] Mees' lines appear after an episode of poisoning with arsenic, [2] thallium or other heavy metals or selenium, [3] opioid MT-45, and can also appear if the subject is suffering from kidney failure. [4] They have been observed in ...
Green nail syndrome is an infection that can develop in individuals whose hands are frequently submerged in water resulting in discolouration of the nails from shades of green to black. [ 3 ] [ 4 ] It may also occur as transverse green stripes that are ascribed to intermittent episodes of infection. [ 3 ]
An ingrown nail, also known as onychocryptosis (from Greek: ὄνυξ (onyx) 'nail' and κρυπτός (kryptos) 'hidden') is a common form of nail disease.It is an often painful condition in which the nail grows so that it cuts into one or both sides of the paronychium or nail bed.