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There is no therapy known to effectively treat dermatophagia, [citation needed] but there have been attempts at stopping those affected from being able to chew on their skin. One notable method that is currently in development is focused on in curbing dermatophagia in children with cerebral palsy.
There are several different classes of pharmacological treatment agents that have some support for treating excoriation disorder: SSRIs; opioid antagonists; anti-epileptic agents; and glutamatergic agents.
Often, the adjacent skin is bitten off, too, which is called perionychophagia, a special case of dermatophagia. Biting nails can lead to broken skin on the cuticle. When cuticles are improperly removed, they are susceptible to microbial and viral infections such as paronychia. Saliva may then redden and infect the skin.
Treatment. Tinea cruris is treated by applying antifungal medications of the allylamine or azole type to the groin region. Studies suggest that allylamines (naftifine and terbinafine) are a quicker but more expensive form of treatment compared to azoles (clotrimazole, econazole, ketoconazole, oxiconazole, miconazole, sulconazole).
Treatment. Dermographism can be treated by substances which prevent histamine from causing the reaction (i.e. an antihistamine). These may need to be given as a combination of H 1 antagonists, or possibly with an H 2-receptor antagonist such as cimetidine. Over-the-counter vitamin C, 1000 mg daily, increases histamine degradation and removal.
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Treatment. Tinea corpora (body), tinea manus (hands), tinea cruris (groin), tinea pedis (foot) and tinea facie (face) can be treated topically. Tinea unguum (nails) usually will require oral treatment with terbinafine, itraconizole, or griseofulvin. Griseofulvin is usually not as effective as terbinafine or itraconizole.
Treatments. In a study conducted in 2008, the treatment options across five patients were studied. [4] These included prescribing medicines for pain, psychotherapy for impulse control, wearing gloves and doing nothing. [4] Each of these treatments worked with varying effectiveness.
Treatment is typically with antifungal creams such as clotrimazole or miconazole. If the scalp is involved, antifungals by mouth such as fluconazole may be needed. Dermatophytosis has spread globally, and up to 20% of the world's population may be infected by it at any given time.
The initial recommended treatment depends on the type of hepatitis C virus, if the person has received previous hepatitis C treatment, and whether the person has cirrhosis. Direct-acting antivirals are the preferred treatment and have been validated by testing for virus particles in patients' blood.