Mehmet Cemal KAYA, Mahmut BULUT, Yasin BEZ

Onikofajisi olan erişkin bir hastada aripiprazol ekleme tedavisi

Tırnak yeme (onikofaji) sık görülen fakat hakkında az inceleme yapılmış bir bozukluktur. Sınıflandırılması ile ilgilifarklı görüşler bulunan onikofaji, DSM-IV-TR’e göre başka türlü adlandırılmayan dürtü kontrol bozukluğu olaraktanımlanmaktadır. Tedavisi ile ilgili bilgiler kısıtlıdır. Tedavisinde psikoterapi ile ilgili birkaç çalışma yanında farmakolojik tedavi ile ilgili sadece bir çalışma bulunmaktadır. Bazı çalışmalarda atipik bir antipsikotik olan aripiprazolündürtü kontrol bozukluklarında faydalı olabileceği bildirilmiştir. Biz bu yazıda essitalopram tedavisine daha önceliteratürde bildirilmemiş olan aripiprazol eklenmesiyle başarılı bir şekilde tedavi edilen onikofaji vakasını sunmayıamaçladık.

Add-on treatment of aripiprazole in an adult onychophagia patient

Nail biting (onychophagia) is a common disorder which has not been investigated yet. There are different opinions about to classify onychophagia, but according to DSM-IV-TR it is classified as impulse control disorder not otherwise specified. The knowledge about treatment of onychophagia is limited. There are a few studies about treatment of onychophagia with psychotherapy and a study with pharmacotherapy. Some studies suggest that an atypical antipsychotic aripiprazole may have beneficial effects in the treatment of impulse control disorders. In this study we report a case of onychophagia which has successfully treated with aripiprazole add-on to escitalopram treatment that has never reported before.

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