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There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
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. [3] It was named by Jan Alkiewicz, a Polish dermatologist. [4]
Cessation of trauma to the nail is an effective treatment for habit-tic deformity. Several methods have been shown to be effective, including the application of cyanoacrylate adhesive to form an artificial cuticle and promote nail root growth, as well as wearing bandages or tape to prevent picking. [2] [1]
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[13]: 660 Acute paronychia is usually caused by direct or indirect trauma to the cuticle or nail fold, and may be from relatively minor events, such as dishwashing, an injury from a splinter or thorn, nail biting, biting or picking at a hangnail, finger sucking, an ingrown nail, or manicure procedures. [14]: 339
Another disorder, known as excoriation disorder, the repetitive action of uncontrollably picking at one's skin, can sometimes accompany dermatophagia. Dermatophagia differs from excoriation disorder in that the repetitive motion affected persons partake in is the biting of the skin. [ 9 ]
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