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Self-induced nail disorders (SINDs): What do we know so far?

M Starace1, S Cedirian1, A Alessandrini1

  • 1Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy; Department of Medical and Surgical Sciences, Alma Mater Studiorum University, Bologna, Italy.

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Summary

Self-induced nail disorders, often linked to onychotillomania, stem from voluntary patient actions. Recognizing these conditions and their psychiatric links is key for effective multidisciplinary treatment.

Keywords:
Body-focused repetitive behavior disordersHabit-tic disordersNail disordersOnychophagiaOnychotillomaniaSelf-induced disorders

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Area of Science:

  • Dermatology
  • Psychiatry

Background:

  • Self-induced nail disorders are a diverse group of conditions resulting from voluntary patient actions.
  • These disorders fall under the spectrum of onychotillomania.
  • Psychiatric comorbidities are frequently observed in patients with these nail conditions.

Purpose of the Study:

  • To review common clinical features of self-induced nail disorders seen in consultations.
  • To offer diagnostic tools for identifying these conditions.
  • To provide therapeutic strategies for managing these nail disorders.

Main Methods:

  • Literature review of self-induced nail disorders.
  • Clinical case analysis.
  • Synthesis of diagnostic and therapeutic recommendations.

Main Results:

  • Common clinical presentations of self-induced nail disorders were identified.
  • Diagnostic criteria and differentiating features were outlined.
  • Evidence-based therapeutic approaches were discussed.

Conclusions:

  • Self-induced nail disorders require careful clinical evaluation due to potential psychiatric comorbidities.
  • A multidisciplinary approach involving dermatology and psychiatry is recommended.
  • Effective management relies on accurate diagnosis and tailored treatment plans.