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The who, what, where, when, why and how of picking, pulling and biting behaviors
Published in Stacy K. Nakell, Treatment for Body-Focused Repetitive Behaviors, 2023
Skin picking is similar to hair pulling in both the pre- and post-picking rituals and engagement of multiple senses. It involves picking at acne, clogged pores, bumps, ingrown hairs, scabs or cuticles, with fingers, tweezers or other implements. Pre-picking rituals can include searching in the mirror for perceived imperfections or feeling for pickable spots. Post-picking rituals can include looking at, smelling and/or tasting sebum, scabs or blood, and picking too has potential medical consequences like infections that may need medical attention. Picking behaviors can also include nose-picking.
Outpatient Assessment
Published in John C Watkinson, Raymond W Clarke, Louise Jayne Clark, Adam J Donne, R James A England, Hisham M Mehanna, Gerald William McGarry, Sean Carrie, Basic Sciences Endocrine Surgery Rhinology, 2018
Martyn L. Barnes, Paul S. White
Many systemic diseases have nasal manifestations. Granulomatosis with polyangiitis (previously Wegener’s granulomatosis) is a systemic vasculitis in which nasal obstruction is associated with diffuse crusting of the nasal mucosa. Other conditions such sarcoidosis, Churg-Strauss vasculitis and Bechet’s syndrome have a similar presentation. Cocaine abuse and habitual nose picking can cause septal crusting, septal perforation, and saddle deformity all of which have the potential to cause nasal impairments. Immunodeficiencies and ciliary defects are also commonly associated with nasal pathology.
Nosebleeds (Epistaxis) in Pregnancy
Published in Tony Hollingworth, Differential Diagnosis in Obstetrics and Gynaecology: An A-Z, 2015
Avoidance of nose picking is important. Vaseline or E45 cream applied to the anterior nose can help prevent drying of the nose and cracking and bleeding of blood vessels. Nasal saline washouts, such as NeilMed Sinus Rinse, saline nasal sprays, such as Sterimar, and moisturising gels, such as NasoGel, can be helpful.
Management of adult asthma and chronic rhinitis as one airway disease
Published in Expert Review of Respiratory Medicine, 2021
Angelica Tiotiu, Plamena Novakova, Guidos Guillermo, Jaime Correira de Sousa, Fulvio Braido
Acute infectious rhinitis is a self-limiting disease usually caused by a virus and recognized as a « common cold ». In patients with septal perforation, nose picking, and/or corpus alienum, bacterial infections are described. Purulent secretions and/or crust formation are considered typical for the diagnosis of infectious rhinitis. The mucosa of the nose and sinuses form a continuum and very often the inflammation of the nasal mucosa is extended to one or more sinuses given rise to sinusitis, those the correct terminology to use in practice for infectious rhinitis is rhinosinusitis. The presence of symptoms over 12 weeks defines the CRS [2].