Warning Signs Of Dermatophagia
Dermatophagia is a body-focused repetitive behavior that causes someone to gnaw or bite their skin, especially around the fingers. The disorder involves conscious and unconscious biting on the skin around the nails and knuckles. This biting leads to discoloration, pain, bleeding, and scarring. Typically, dermatophagia does not include the consumption of the skin being bitten. The disorder can be associated with obsessive-compulsive disorder, which, by definition, would trigger someone to continue doing the behavior even though it is damaging the skin and causing pain. There are some telltale signs of the disorder that should be recognized when getting a diagnosis or assessment. Additionally, the chewing can occur on various parts of the body, like the inside of the mouth, fingers, and lips.
Presence Of Red And Raw Skin

This disorder is more serious than just periodic pulling or biting of the skin around the fingers and fingernails. This is a compulsion the patient dealing with dermatophagia cannot really control. When the patient continues to bite the skin around their fingernails, they will cause red and raw skin. It can be bloody and painful, but the patient continues to do it regardless of discomfort. It can cause them to isolate themselves because they are very self-conscious of the condition of their fingers. They may feel embarrassed by their condition and try to hide it. Understanding dermatophagia is not just a habit is important. This distinction will allow a patient to get help with managing the chewing of the skin around the nails that causes sore, bleeding, and painful fingers.
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Scarring Or Skin Discoloration

Constant and continuing gnawing at the skin can cause scarring or skin discoloration. This would mean even if dermatophagia is treated and the patient discontinues chewing on the skin, it may not heal to the point damage is not seen. It can cause permanent skin discoloration, which can still be embarrassing. It can also cause calluses and scarring that make the fingers look unattractive and damaged. The longer dermatophagia goes untreated, the more damage that can be inflicted on different areas of the body. Just like having actively chewed on the skin can cause an individual to isolate themselves, so can the resulting scarring and skin discoloration. Having to hide one's hands from others is difficult because many individuals use their hands when they speak and greet others by shaking hands. It is uncomfortable for patients with dermatophagia to put their disorder on display by engaging in these activities.
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