We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Best of the Best |

Top Accessed Article: Treatment of Habit-Tic Deformity With Fluoxetine FREE

Tien V. Nguyen, BA; Jillian W. Wong, BA; John Koo, MD
[+] Author Affiliations

Author Affiliations: Department of Dermatology, University of California, San Francisco (Mr Nguyen, Ms Wong, and Dr Koo); School of Medicine, University of Texas Health Science Center, San Antonio (Mr Nguyen); and School of Medicine, University of Utah, Salt Lake City (Ms Wong).

Arch Dermatol. 2012;148(5):640. doi:10.1001/archdermatol.2012.320.
Text Size: A A A
Published online

Vittorio and Phillips reported an interesting case of a 45-year-old man with a history of hand eczema who was successfully treated for habit-tic deformity with fluoxetine hydrochloride at 20 mg/d for 4 weeks. Selection of a selective serotonin reuptake inhibitor (eg, fluoxetine) in the treatment of this patient's condition was ideal, considering his personal and family history of depression. The authors highlighted the need for dermatologists to knowledgeably treat patients with habit-tic deformity, as such patients may prefer to be treated by dermatologists rather than by psychiatrists or their primary care providers.

Obsessive-compulsive disorder (OCD) spectrum includes conditions that bear features of but do not fit all of the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria for OCD. Habit-tic deformity, a common nail dystrophy induced by repeated picking at the proximal nail fold, illustrates how compulsion can be present in the absence of an obsessive component. The response of many OCD spectrum disorders to several medications, such as selective serotonin reuptake inhibitors or atypical antipsychotic agents (eg, risperidone), suggests a biochemical basis for these disorders. Even if a patient with a psychodermatologic complaint, such as habit-tic deformity, refuses to see a psychotherapist, any dermatology provider can help the patient with knowledgeable use of appropriate medications. This approach is likely to be more helpful than offering the patient no therapy at all.

From August 2009 through August of 2010, this article was viewed 2036 times on the Archives of Dermatology Web site.


Contact Dr Koo at the Department of Dermatology, University of California, San Francisco, 515 Spruce St, San Francisco, CA 94118 (John.Koo@ucsfmedctr.org).





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.