Related Experiment Video
Updated: Jul 14, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
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.
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.
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.
Related Concept Videos
Accessory Structures of the Skin: Nails
The main components of a nail include the following.
Nail Plate: The nail plate is the visible portion of the nail that extends beyond the fingertips or toes. It is a hard, translucent...
Peripheral Artery Disease IV: Nursing Management
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Dissociative Identity Disorder
Endocarditis II: Clinical Features of Infective Endocarditis
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...

