凤毛虫的特点是不可抗拒的冲动去摘或拉指甲,导致指甲和周围组织的显著损伤。在严重的情况下,它会导致甲营养不良,导致指甲形状的异常变化,颜色,纹理,和增长。由于缺乏标准治疗和并发的行为障碍,管理onychotillomania可能具有挑战性。药物治疗和行为治疗已从报告的病例中显示出一些积极的结果。甲营养不良的治疗因根本原因而异,可能需要局部应用,系统性,或激光治疗。然而,目前对于最有效的治疗方法尚无共识.本报告介绍了使用595nm脉冲染料激光成功治疗的由onychotillomania引起的onychodomstrophy。治疗四次,会议之间有两周的间隔。在开始治疗的四周内观察到显著的改善,在为期八周的课程结束时,营养不良的缩略图几乎完全解决了。经过十个月的全面随访,已经确定营养不良的指甲没有再次出现。此外,患者拔指甲的倾向明显下降。
Onychotillomania is characterized by an irresistible urge to pick or pull at one\'s nails, resulting in significant damage to the nail and surrounding tissue. In severe cases, it can cause
onychodystrophy, which leads to abnormal changes in nail shape, color, texture, and growth. Managing onychotillomania can be challenging due to the lack of standard treatment and concurrent behavioral disorders. Pharmacotherapy and behavioral therapy have shown some positive outcomes from reported cases. The treatment for
onychodystrophy varies depending on the underlying cause and may entail the application of topical, systemic, or laser therapies. Nevertheless, there is currently no consensus on the most effective treatment approach. This report presents a case of
onychodystrophy caused by onychotillomania successfully treated using a pulsed dye laser 595 nm. The treatment was administered four times, with a two-week interval between sessions. Significant improvement was seen within four weeks of starting the treatment, and by the end of the eight-week program, the dystrophic thumbnails had almost completely resolved. After a thorough ten-month follow-up, it has been determined that the dystrophic nails have not reappeared. Moreover, there has been a significant decrease in the patient\'s tendency to pull her nails.