Habit-tic deformity

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Habit-tic deformity
Synonyms	Onychotillomania
Pronounce	N/A
Specialty	Dermatology
Symptoms	Nail dystrophy, nail plate damage
Complications	Infection, nail bed damage
Onset
Duration
Types
Causes	Repetitive trauma to the nail, often due to nail biting or nail picking
Risks
Diagnosis	Clinical examination
Differential diagnosis	Onychomycosis, psoriasis, lichen planus
Prevention	Avoidance of repetitive trauma, behavioral modification
Treatment	Behavioral therapy, protective measures for nails
Medication
Prognosis	Good with treatment
Frequency
Deaths

Habit-tic deformity is a nail disorder characterized by longitudinal grooving and ridging of the nail plate, often accompanied by a habit of picking at or manipulating the cuticle or nail bed. This condition is considered a type of self-induced trauma and is often associated with nail-biting or other repetitive behaviors that result in damage to the nail or surrounding skin.

Causes

Habit-tic deformity is primarily caused by repetitive physical trauma to the cuticle or nail matrix. This trauma can be the result of habitual actions such as nail-biting, picking, or rubbing the area. The condition reflects the damage and subsequent repair processes of the nail matrix, leading to the characteristic appearance of the nails.

Symptoms and Diagnosis

The main symptom of habit-tic deformity is the appearance of the nails. Affected nails may show longitudinal grooving, ridging, or dents. The deformity is usually most evident on the thumb, but it can affect any nail. Diagnosis is typically based on the clinical appearance of the nails and the patient's history of repetitive nail-related habits. No specific tests are required for diagnosis, but a healthcare provider may perform examinations to rule out other nail disorders.

Treatment

Treatment of habit-tic deformity focuses on addressing the underlying repetitive behaviors. Behavioral modification techniques, such as habit reversal training, can be effective in reducing or eliminating the nail manipulation habits. In some cases, covering the affected nails with bandages or wearing gloves can help protect the nails and reduce the opportunity for manipulation. Counseling or therapy may be recommended for individuals who have difficulty stopping the behavior on their own.

Prevention

Preventing habit-tic deformity involves avoiding the repetitive behaviors that lead to nail damage. Keeping nails trimmed short and engaging in alternative activities to occupy the hands can help reduce the likelihood of nail manipulation. Stress management techniques may also be beneficial, as stress can be a trigger for nail-related habits.

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