Alopecia Areata and Habit Tic Deformities

Horne, Marina Isabel; Utzig, Joyce Benck; Rieder, Evan A.; Vincenzi, Colombina; Tosti, Antonella

doi:10.1159/000486540

Cited by 2 publications

(2 citation statements)

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“…The latter, however, has been reported in Indian children as well as Iranian patients with darker skin types [ 7 , 22 ], possibly being melanonychia due to activation of melanocytes related to the skin phototype and not necessarily to the inflammatory infiltrate itself. Secondary nail changes due to manipulation, like habit tic deformities, potentially caused by emotional stress, have also been reported in AA patients [ 43 ]. Onychomadesis and onycholysis are rare signs, but probably those impairing daily activities and causing pain the most.…”

Section: Clinical Presentationmentioning

confidence: 99%

Alopecia Areata of the Nails: Diagnosis and Management

Pelzer,

Iorizzo

2024

JCM

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Background: Alopecia areata (AA) is a common form of non-scarring alopecia characterized by acute hair loss. Nail involvement, though not always present, can occur in AA patients. Nail changes are more frequent in severe forms of AA and in children. Methods: Literature related to nail changes in AA was comprehensively reviewed after a search on the PubMed database without time restrictions in order to identify common clinical presentations and associated factors to aid clinicians with the correct evaluation and management of these dystrophies. Results: Nail changes in AA include pitting, trachyonychia, leukonychia, red lunula, and miscellaneous alterations such as longitudinal ridging and brittle nails. Nail changes are usually asymptomatic but, nevertheless, sometimes cosmetically disfiguring and can be associated with a reduced quality of life and impaired daily activities. Conclusions: Nail changes in AA may precede or follow hair loss and can occur as an isolated finding. Diagnosis may require a biopsy for definitive identification. Spontaneous improvement is possible, particularly in children, and treatment is not always necessary. Further research is, however, needed to establish a consensus on treatment approaches according to age and severity.

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Section: Clinical Presentationmentioning

confidence: 99%

Alopecia Areata of the Nails: Diagnosis and Management

Pelzer,

Iorizzo

2024

JCM

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“…Additionally, Horne et al describe two patients with AA and selfinduced nail trauma or habit tic nail disorder (Horne, Utzig, Rieder, Vincenzi, & Tosti, 2018). Other potential environmental triggers include vaccinations, drugs, infections, hormonal changes, and diet (Darwin et al, 2018).…”

Section: Alopecia Areatamentioning

confidence: 99%

Trichopsychodermatology: The Psychiatric and Psychosocial Aspects of Hair Disorders

Jafferany

Patel

2019

Dermatologic Therapy

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Medical conditions involving hair are typically managed by a dermatologist. However, a significant psychosocial association has been found both in the development of hair conditions through primary pathologic involvement and as secondary comorbidity.Trichopsychodermatology is an emerging field aiming to better understand the psychiatric and psychosocial impacts of disorders involving hair. Trichotillomania or hairpulling disorder, alopecia areata, telegenic effluvium, anagen effluvium, and cicatricial alopecia represent common conditions within trichopsychodermatology. A lack in awareness, knowledge, and training of the field exists, which can act as a barrier for improving patient outcomes. This review provides a holistic understanding of specific psychotrichologic conditions that healthcare providers may encounter in order to facilitate the process of developing high-quality future therapeutic interventions.

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Alopecia Areata and Habit Tic Deformities

Abstract: Nail involvement is a very common finding in patients with alopecia areata (AA). Most commonly evidenced by nail pitting, nail abnormalities can affect up to 66% of AA patients. We present two cases of the unusual association between habit tic nail deformities and AA.

Cited by 2 publications

References 6 publications

Alopecia Areata of the Nails: Diagnosis and Management

Alopecia Areata of the Nails: Diagnosis and Management

Trichopsychodermatology: The Psychiatric and Psychosocial Aspects of Hair Disorders

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