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Vol. 72. Issue 6.
Pages 394-398 (November - December 2021)
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Vol. 72. Issue 6.
Pages 394-398 (November - December 2021)
Brief communication
Rhinotillexomania: A Manifestation of Psychiatric Illness
Rinotilexomanía: manifestación de enfermedades psiquiátricas
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Margarita Mesa-Marrero
Corresponding author
margamesamarrero@hotmail.com

Corresponding author.
, Begoña de Frias-Berzosa, Elena Hernández-Montero, Andrea Alvarez-Roger, Paula Cruz-Toro
Servicio de Otorrinolaringología, Hospital de Viladecans, Viladecans, Barcelona, Spain
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Tables (2)
Table 1. Aetiology of Acquired Nasal Injuries.
Table 2. Risk factors for Factitious Disorders.
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Abstract
Objective

To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature.

Material

We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases.

Results

One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury.

Conclusion

Self-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications.

Keywords:
Rhinotillexomania
Nose picking
Psychiatric disease
Self-destructive behaviours
Self-destructive syndromes
Resumen
Objetivo

Incrementar el conocimiento de la rinotilexomanía o manipulación compulsiva intranasal como manifestación de enfermedades psiquiátricas mediante la exposición de una serie de casos y revisión de la literature.

Material

Presentamos 3 casos clínicos con lesiones autodestructivas nasales como síntoma de diferentes enfermedades psiquiátricas.

Resultados

Un paciente presentó una amputación del cornete medio como manifestación de un trastorno obsesivo-compulsivo de una enfermedad bipolar. Dos pacientes tuvieron una perforación septal. El primero como primer síntoma de una dermatitis facticia y el segundo en el transcurso de una esquizofrenia. Sólo el control con tratamiento psicológico y fármacos psicótropos consiguió la estabilización de la lesión nasal.

Conclusión

Las lesiones autoinducidas son un reto diagnóstico y de tratamiento para el otorrinolaringólogo. El conocimiento de las enfermedades psiquiátricas relacionadas con lesiones destructivas centradas en la nariz mejora el abordaje del paciente evitando la progresión de la destrucción local y sus complicaciones.

Palabras clave:
Rinotilexomanía
Manipulación nasal
Enfermedad psiquiátrica
Comportamientos autodestructivos
Síndromes autodestructivos

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