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Der Struwwelpeter is one of the earliest books for children that combines visual and verbal narratives in a book format, and is considered a precursor to comic books. [ 3 ] Der Struwwelpeter is known for introducing the villainous character of the Tailor (or Scissorman) to Western literature.
Pinworm infection (threadworm infection in the UK), also known as enterobiasis, is a human parasitic disease caused by the pinworm, Enterobius vermicularis. [3] The most common symptom is pruritus ani, or itching in the anal area. [1]
Prevalence rates for children are unknown. [42] [43] Young children commonly place non-nutritious material into their mouths. This activity occurs in 75% of 12-month-old infants, and 15% of two- to three-year-old children. [43] In institutionalized children with mental disabilities, pica occurs in 10–33%. [43]
Manicures, nail polish and remover, nail biting, and repeated trauma such as typing, can contribute to nail splitting. [1] Dehydration likely plays a role. [3] Nutritional deficiencies that can result in nail splitting include iron, selenium, and zinc. [1] Some skin diseases such as psoriasis and lichen planus may feature such nails. [3]
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.
Fingernail-biting that develops into fingernail-eating is a form of pica. Other forms of pica include dermatophagia, [7] and compulsion of eating one's own hair, which can form a hairball in the stomach. Left untreated, this can cause death due to excessive hair buildup. [8]
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