Dr. Suvash Sahu
Dermatology
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Patient's Query
Hello doctor,
I am a 33 year old male. My weight is 141.09 Ibs and height is 5'5". I am having a peculiar problem, and upon a lot of research on the internet, I found out that it is a habit-tic deformity. I am having horizontal ripples on my right thumb for closely three years. I recently started observing the same in another finger. I had a bad habit of picking the skin on my fingers, and biting and clipping off nails, but now I have stopped all those. Still, nail deformation is a problem for me. I have attached photos of mine for clarity. Could you please help me on how can I get rid of this problem? I am taking general multivitamin supplements and Biotin 5000 mcg vegetarian soft gel.
Hi,
Welcome to icliniq.com.
I have read your concern and examined your picture (attachment removed to protect patient identity). It seems you have developed a longitudinal furrow of the nail plate due to habit-tic (constant stroking or picking nails). This nail deformity is also known as onychodystrophia mediana canaliformis. It is due to the nervous tic of pushing back the cuticle and the proximal nail fold of the thumb with the index finger. You need to change your habit and go for yoga or heartfulness exercises. I suggest you tablet Xtraglo once daily in place of plain Biotin after consulting your GP or nearby dermatologist.
Patient's Query
Hi doctor, Thanks for your quick response to my previous question. Here are a couple of follow-up questions to my last query:
Appreciate your time and valuable input. Thank you.
Hi,
Welcome back to icliniq.com.
I have seen your query. You have to take Xtraglo for around 5 to 6 months. There are no exact combination tablets in abroad in place of Xtraglo, but you can use a combination having biotin, L-methionine, and L-cysteine. Since this is a self-created defect, it is not a disease so only oral nail supplements are sufficient, you can use Xerina lotion twice, it is a moisturizing lotion. Physical exercise some time is not enough to change your habits. Yoga or heartfulness exercises makes you calm, and restrict your body movements for a certain moment, which may help you control of your habit
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Dermatology
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