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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.
Treatment Psychotherapy. Treatment can include behavior modification therapy, medication, and family therapy. The evidence base criteria for BFRBs is strict and methodical. Individual behavioral therapy has been shown as a "probably effective" evidence-based therapy to help with thumb sucking, and possibly nail biting.
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.
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.
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 .
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This phenomenon is known as maternal dermatophagy. This practice and morphological similarities are shared with its African relative Boulengerula taitana, suggesting it evolved over 100 million years ago.
Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
Vitiligo surgery includes procedures such as autologous melanocyte transplant, suction blister grafting, and punch grafting. Allergy testing uses "patch" testing for contact dermatitis. Systemic therapies include antibiotics, immunomodulators, and novel injectable products.