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OJHAS Vol. 7, Issue 4: (2008
Oct-Dec) |
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It is not always the nail
biting experience |
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Khalil Kanjwal
Postdoctoral Research Fellow, Division of Cardiovascular
Medicine, University of Toledo Medical
Center, USA |
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Address For Correspondence |
Postdoctoral Research Fellow,
Division of Cardiovascular
Medicine,
University of Toledo Medical
Cente,
3000 Arlington Ave, Toledo, OH 43614 USA
E-mail:
Khalil.Kanjwal@utoledo.edu |
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Kanjwal K. It is not always the nail
biting experience Online J Health Allied Scs.
2008;7(4):10 |
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Submitted: Oct 23, 2008; Accepted:
Jan 12, 2009 Published: Feb 25, 2009 |
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| Abstract: |
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Case of a 22 year old male with past
medical history of attention deficit disorder, found to have callosities and skin
abrasions on knuckels and dorsum of his interphalengeal joints in both
hands
Key Words:
Attention deficit disorder, Nail bite |
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22 year old male with past
medical history of attention deficit disorder, was seen in the electrophysiology
clinic for palpitations. His physical examination was unremarkable except
for his hand examination( Fig 1 and Fig 2).He had callosities and skin
abrasions on knuckels and dorsum of his interphalengeal joints in both
hands
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Figure 1: Bite marks on
dorsum of interphalengeal joints
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Figure 2: Hypertrophy and redness of skin on the dorsum of interphalengeal
and metacarpophalengeal joints |
However, on further questioning
our patient revealed that he is a habitual hand bitter and usually bites
his knuckles and dorsum of his interphalengial joints. Treatments for
the conditions rely on psychotherapy, medication, or both. Behavior
modification is quite important and is employed. Habits are generally
milder but may be indistinguishable from compulsions.
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