Rhinotillexisrhinotillexomania

Rhinotillexisrhinotillexomania is a coined term used to describe a pattern of chronic, compulsive nose picking, sometimes accompanied by an obsessive urge to continue the behavior. It is not a formally recognized diagnosis in major medical classification systems, but it appears in informal, clinical, or anecdotal discussions to describe severe or persistent nose-picking behavior with compulsive features.

Clinical features commonly associated with this concept include frequent or ritualized nose picking, skin irritation or damage around the nostrils, crusting, nasal bleeding, and occasional infection. The behavior may be time-consuming and can lead to social embarrassment, functional impairment, or avoidance of activities due to fear of stigma or recurrent urges.

Potential causes and associations are not well defined in systematic research. Some cases are discussed within the context of obsessive-compulsive spectrum phenomena, anxiety disorders, or other compulsive behaviors. Nasal irritation from allergies, rhinitis, dry air, or irritants can perpetuate picking. Comorbidity with dermatologic or sensory processing issues may also be observed. Environmental stress, boredom, or habitual reinforcement can contribute to the persistence of the behavior.

Diagnosis is typically clinical, based on history and physical examination. There is no specific laboratory test for rhinotillexisrhinotillexomania. Differential diagnoses include habitual nose picking without distress, contact dermatitis of the nasal vestibule, nasal dermatitis, or other conditions that cause nasal itching or discomfort.

Treatment focuses on reducing the urge and addressing underlying conditions. Behavioral approaches such as habit reversal training and cognitive-behavioral therapy can be beneficial, sometimes in combination with treatment for anxiety or obsessive-compulsive symptoms. Practical measures include nasal hygiene, moisturizing ointments, saline irrigations, and avoidance of irritants. In some cases, pharmacotherapy directed at OCD or anxiety disorders may be considered. Prognosis varies and often depends on the presence and management of comorbid conditions. See also rhinotillexis, rhinotillexomania, and related obsessive-compulsive spectrum disorders.