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Related to habit-tic deformity: onychomycosis
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can distinguish psoriatic nails from habit-tic deformity.
Nail deformities that closely resemble habit-tic deformity on exam have been reported in patients who explicitly deny trauma.
In addition, selective serotonin reuptake inhibitors (SSRIs) may play a role in treatment, because habit-tic deformity is believed to be a compulsive disorder.