Onychotylomania - causes, symptoms, diagnosis, treatment, photos
- 22 Jun 10:45
- Disease Of The Skin
Onychotylomania is one of the types of dermatomania, a pathology is expressed in the obsessive habit of destroying its own nails, however, as are theyhephagia. It is noted that these patients are psychiatric in nature. Aggravation occurs in a state of depression or with andisorder.
- 1 Causes of
- 2 Clinical picture of
- diagnostic methods 4 Treatment of
- 4.1 Popular methods
- 5 Prevention and prognosis
- 6 Photo
There are many reasons why patients seek to self-harm. In each case, it is necessary to find the motive that prompts the patient to damage their own nails.
The most common causes of these are:
Clinical picture of
The onychotylomania manifests itself in mechanical injury to its own nails. In this case, the patient can use any tools( knives, razors, etc.) or damage the nails of other fingers.
Intentional action leads to the fact that the nails are deformed and destroyed. The degree of damage to the nails depends on the duration of the disease. Most often the nails are damaged on the fingers, especially on the big toe.
Damage to the nail with onychotylomania usually looks like deep longitudinal grooves on the nails, located throughout the length of the nail. Such nail injuries are often confused with such a disease as trachyonium, which is characterized by the appearance of longitudinal grooves throughout the nail plate. With constant scaling of the nail there is a detachment of the nail plate, it becomes hilly, soft, when pushed on the damaged nail, pain can be felt. Also, nail growth can be observed.
With prolonged course of the disease, the nail bed remains coated with a thin layer of horn substance. Subcutaneous hematomas may be observed.
Clinical manifestations of onychotylomania are very specific. When performing a diagnosis, it is necessary to exclude onychomycosis, that is, fungal infection of the nails. To do this, carry out laboratory tests.
Patient suspected of having an onycholybdenum is necessarily referred to a psychotherapist for consultation.
It should be noted that these hygiene dummies are given very little attention. Yes, and most patients are unaware of the presence of this problem, therefore, they often happen to be accidentally detected when they are screened for patients who have asked for other illnesses.
Treatment of onychotylomania and other similar diseases( onychophagia, trihotilomania) should be complex. It is necessary to use psychotherapeutic methods to get rid of obsessive state, as well as treatment for recovery.
Many believe that the role of a dermatologist in the treatment of onychotylomania is to provide counseling and the appointment of symptomatic treatment to restore nails. However, it is extremely difficult to convince the patient that he needs psychological help. As a result, the patient goes from under the supervision of a dermatologist, but the psychoneurologist does not turn. To solve this complicated situation, a new direction of medicine is developing quite actively today - psychodermatology, specializing in pathologies of this nature.
The onycholmonia is a pathology that belongs to a group of compulsive states. For its treatment used psychotropic drugs, which are used in the treatment of respiratory-compulsive syndrome. For example, reuptake inhibitors of serotonin.
Use of psychotropic drugs is not always necessary. Often in the treatment of onychotylomania can be managed without the use of drugs, only with the use of psychotherapeutic techniques. To choose a course of psychotherapeutic treatment of onychotylomania is necessary individually.
An effective and inexpensive treatment of onychotylomania is the sticking of problem nails with adhesive plaster. The method of creating a mechanical barrier by applying cyanacrylate glue to the nail is also used. A layer of glue on the nail protects against the trauma of the proximal nail plate.
When it is recommended to apply glue on the nail once a week, recovery of the nail occurs 6 months. However, it can not be excluded that prolonged use of cyanoacrylate adhesive for the treatment of onychotyllomania can lead to the development of contact dermatitis on the constituents.
It is recommended to include vitamin therapy in the treatment regimen of onychotylomania, especially the intake of vitamin A.
Homoeopathic remedies can be used to treat onychothyllomania. Treatment with homeopathic remedies should be prolonged. At an onychotylomania, Arum trifillum 6 or Arsenicum muriaktikum 12 may be prescribed, the doses of the drug are individually selected.
With onychotylomania you can fight and the means of folk medicine. To treat this pathology, it is necessary to use soothing herbal remedies and remedies for the repair of damaged nails.
To deal with obscenities and to become more calm and sustained will help calming fees:
- It is necessary to take equal parts of the roots of valerian, peppermint leaves, hop cones, finely chopped hips, grass vystirnik. To brew a spoon of a mixture of herbs 250 ml of just boiled water. Warm in a water bath for 15 minutes or stand the thermostat in 2 hours. Remove the grass by straining the broth through the strainer. Drink three times a day for 100-150 ml, before using the broth should be warmed slightly to make it warm.
- The second recipe of soothing tea, which can help in the treatment of onychotylomania: take equal amounts of peppermint, fennel, chamomile, melissa and mint. Cook and take the infusion as described above.
The second line of treatment is to strengthen damaged nails. Folk healers recommend:
- Strengthening nails. One of the most effective and inexpensive is a bath with the addition of sea salt. It is better to buy the most common salt without flavors and other additives. Pour into a bowl 400 ml of water add a dessert spoon of sea salt. Immerse nails in warm water for at least 10 minutes.
- Mix two tablespoons of honey and vegetable oil, heat it in a water bath, stirring to make the mass homogeneous. Then remove from the heat, cool a little and add a few drops of an oily solution of vitamins A and E. Immerse in a warm mass of nails for 10 minutes. Then, massage a little on each plate, as if rubbing the nail.
Prevention and prognosis
Prevention of onychotylomania is to exclude damage to the nail plate. The prognosis of this disease depends on the success of the treatment of functional neurosis, which provoked the formation of an obsessive habit. Usually, when eliminating the traumatic factor, the nails completely restored after 4-6 months. But if theyhotillomania proceeds long, the nails may not recover their shape, but remain distorted forever or have spoon-shaped nails.