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A simple solution for habit‐tic nail deformity

A simple solution for habit‐tic nail deformity Dear Editor,Persistent habit‐tic deformity successfully treated with a simple, cost‐effective topical regime, combined with the patient's own ‘thumb tuck’ method.Habit‐tic deformity is an onychodystrophy caused by habitual cuticle and nail‐fold picking, resulting in typical central depressed transverse ridging that commonly affects the thumbnails.1Reported successful treatments using cyanoacrylate glue or adhesive tape2 to the proximal nail fold3 are impractical, cosmetically unacceptable and may cause allergic contact dermatitis. Treatment of any coexisting psychiatric comorbidities2 is important. Often, the main difficulty is stopping the picking habit.As far as we are aware, we report for the first time this simple, cost‐effective topical regime and ‘thumb tuck’ method which allowed our patient to resolve his longstanding nail‐picking habit and onychodystrophy.CLINICAL CASEA 74‐year‐old man presented with transverse ridging, loss of cuticle and macrolunulae of his thumbnails. He had no history of nail disease, trauma, infections, irritant exposure, prior treatment with isotretinoin or cryotherapy, or psychiatric comorbidities. He had mild lower leg asteatotic dermatitis without hand or nail involvement.He started picking the cuticle of his thumbnails at age 12 due to stress. Despite the stressful trigger‐resolving, the habit continued for 60 years. He would keep his thumbnails hidden from view but did not seek treatment.Examination revealed cuticle http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australasian Journal of Dermatology Wiley

A simple solution for habit‐tic nail deformity

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References (4)

Publisher
Wiley
Copyright
Copyright © 2023 The Australasian College of Dermatologists
ISSN
0004-8380
eISSN
1440-0960
DOI
10.1111/ajd.14077
Publisher site
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Abstract

Dear Editor,Persistent habit‐tic deformity successfully treated with a simple, cost‐effective topical regime, combined with the patient's own ‘thumb tuck’ method.Habit‐tic deformity is an onychodystrophy caused by habitual cuticle and nail‐fold picking, resulting in typical central depressed transverse ridging that commonly affects the thumbnails.1Reported successful treatments using cyanoacrylate glue or adhesive tape2 to the proximal nail fold3 are impractical, cosmetically unacceptable and may cause allergic contact dermatitis. Treatment of any coexisting psychiatric comorbidities2 is important. Often, the main difficulty is stopping the picking habit.As far as we are aware, we report for the first time this simple, cost‐effective topical regime and ‘thumb tuck’ method which allowed our patient to resolve his longstanding nail‐picking habit and onychodystrophy.CLINICAL CASEA 74‐year‐old man presented with transverse ridging, loss of cuticle and macrolunulae of his thumbnails. He had no history of nail disease, trauma, infections, irritant exposure, prior treatment with isotretinoin or cryotherapy, or psychiatric comorbidities. He had mild lower leg asteatotic dermatitis without hand or nail involvement.He started picking the cuticle of his thumbnails at age 12 due to stress. Despite the stressful trigger‐resolving, the habit continued for 60 years. He would keep his thumbnails hidden from view but did not seek treatment.Examination revealed cuticle

Journal

Australasian Journal of Dermatology – Wiley

Published: Aug 1, 2023

Keywords: habit‐tic; nail diseases; nails

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