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Those affected with dermatophagia typically bite the skin around the nails, leading to bleeding and discoloration over time. Some people also bite on their skin on their finger knuckles which can lead to pain and bleeding just by moving their fingers.
Nail biting is very common, especially amongst children. 25–35 percent of children bite nails. More pathological forms of nails biting are considered an impulse control disorder in the DSM-IV-R and are classified under obsessive-compulsive and related disorders in the DSM-5.
Also known as "true" leukonychia, this is the most common form of leukonychia, in which small white spots appear on the nails. Picking and biting of the nails are a prominent cause in young children and nail biters. Besides parakeratosis, air that is trapped between the cells may also cause this appearance. [5]
The problem doesn't stop at nails, either. Habitual nail-biters often chomp on the skin around their fingers, too, leaving open cuts and abrasions that could easily pick up even more bacteria or ...
Paronychia is an inflammation of the skin around the nail, which can occur suddenly (acute), when it is usually due to the bacterium Staphylococcus aureus, or gradually (chronic) when it is commonly caused by Candida albicans. The term is from Greek: παρωνυχία from para, "around", onyx, "nail" and the noun suffix -ia.
(One common repetitive behavior is nail-biting.) The research, published Wednesday in JAMA Dermatology , found that an approach called habit replacement may help reduce these behaviors.
Periungual warts are warts that cluster around the fingernail or toenail. They appear as thickened, fissured cauliflower-like skin around the nail plate. Periungual warts often cause loss of the cuticle and paronychia. Nail biting increases susceptibility to these warts.
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Excoriation disorder, more commonly known as dermatillomania, is a mental disorder on the obsessive–compulsive spectrum that is characterized by the repeated urge or impulse to pick at one's own skin, to the extent that either psychological or physical damage is caused. [4] [5]
A student from Australia had to have her thumb amputated after doctors diagnosed her with skin cancer following a nail-biting incident. Courtney Whithorn, 20, had developed a nail-biting habit ...