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What Is the Diagnosis? Onycho-Trichotillomania: An Unusual Case Report

Year: 2025
Type: article
Abstract: Nail discoloration is commonly attributed to fungal or bacterial infections, trauma, or inflammatory nail disorders. In rarer cases, however, chromatic alterations may result from compulsive or repetitive behaviors—subtle signs often overlooked during initial assessment. This case highlights the importance of a comprehensive diagnostic approach: clinical examination and laboratory testing ruled out typical causes, while dermoscopy and microscopic analysis, combined with detailed behavioral evaluation, uncovered an unexpected psychodermatological etiology. The case underscores the need for diagnostic openness and sensitivity to behavioral cues, reminding clinicians that careful observation can reveal hidden causes behind seemingly common dermatological presentations.
Language: English
Subfield: Epidemiology
Field: Medicine
Open Access status: hybrid
Estimated APC paid: $2,590
OpenAlex ID: W7083314648
FWCI: 0.607
Cites: 6
Cited by: 1
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