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Onychotillomania can be categorized as a body-focused repetitive behavior in the DSM-5 and is a form of skin picking, also known as excoriation disorder. It can be associated with psychiatric disorders such as depressive neurosis, delusions of infestation [ 2 ] and hypochondriasis .
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]
Skin picking is also common in those with certain developmental disabilities; for example, Prader–Willi syndrome and Smith–Magenis syndrome. [8] Studies have shown that 85% of people with Prader–Willi syndrome also engage in skin-picking. [8] Children with developmental disabilities are also at an increased risk for excoriation disorder. [8]
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
In more severe cases, the motions may become harmful to the individual, and may involve things such as ripping, tearing, or chewing at the skin around one's fingernails, lips, or other body parts to the point of bleeding. Psychomotor agitation is typically found in various mental disorders, especially in psychotic and mood disorders.
Stereotyped movements are common in infants and young children; if the child is not distressed by movements and daily activities are not impaired, diagnosis is not warranted. [1] When stereotyped behaviors cause significant impairment in functioning, an evaluation for stereotypic movement disorder is warranted.
Sensory cravings, [13] including, for example, fidgeting, impulsiveness, and/or seeking or making loud, disturbing noises; and sensorimotor-based problems, including slow and uncoordinated movements or poor handwriting. Sensory discrimination problems, which might manifest themselves in behaviors such as things constantly dropped. [citation needed]
Adoption of ICD-10-CM was slow in the United States. Since 1979, the US had required ICD-9-CM codes [11] for Medicare and Medicaid claims, and most of the rest of the American medical industry followed suit. On 1 January 1999 the ICD-10 (without clinical extensions) was adopted for reporting mortality, but ICD-9-CM was still used for morbidity ...
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