To the Editor: We believe that the term dermatophagia, when used to describe compulsive biting of the skin,1Scott Jr., M.J. Scott 3rd, M.J. Dermatophagia: “wolf-biter.”.Cutis. 1997; 59: 19-20PubMed Google Scholar, 2Al Hawsawi K. Al Aboud K. Ramesh V. Dermatophagia simulating callosities.Dermatol Psychosom. 2003; 4 (Available at:) (Accessed August 20, 2004): 42-43http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ProduktNr=224228&Ausgabe=229178&ArtikelNr=70535&filename=70535.pdfCrossref Scopus (8) Google Scholar gives the false impression that pieces of skin are actually ingested, rather than simply bitten or gnawed on. Accordingly, we propose a more accurate term, “dermatodaxia,” to denote habitual biting—without consumption—of the skin. Dermatophagia (Greek δερματoϕαγıα) derives from derma (δε´ρμα, “skin”) and phago (ϕα´γω, “I eat”). The word denotes the eating of skin, irrespective of whether or not one bites it. Conversely, published reports of dermatophagia describe patients whose behavior consists solely of compulsive biting or gnawing their skin, but not actually ingesting it. Indeed, these patients developed a reactive thickening of the skin, not a wound, ulceration, or loss of skin. The term “dermatophagy” is, however, used correctly by herpetologists to describe the curious instinctive behavior of some reptiles and amphibians to eat their own shed skins.3Weldon P.J. Demeter B.J. Rosscoe R. A survey of shed skin-eating (dermatophagy) in amphibians and reptiles.J Herpetol. 1993; 27: 219-228Crossref Google Scholar If dermatophagia denotes the actual consumption of skin (usually, but not necessarily, one's own), what then should we call the habit of simply biting one's skin? Autophagy won't work; it implies eating one's own tissues (observed most often among stressed laboratory rats). Autophagy also refers to lysosomal degradation of a cell's own organelles.4Kalimo H. Savontaus M.L. Lang H. Paljarvi L. Sonninen V. Dean P.B. et al.X-linked myopathy with excessive autophagy: a new hereditary muscle disease.Ann Neurol. 1988; 23: 258-265Crossref PubMed Scopus (98) Google Scholar Cheek-biting describes the simple act of biting one's own buccal mucosa; a particularly vigorous form of cheek-biting in which pieces are torn from the mucosa is called morsicatio buccarum.5Obermayer M.E. Cheekbiting (morsicatio buccarum).Arch Dermatol. 1964; 90: 185-190Crossref PubMed Scopus (18) Google Scholar After consulting dictionaries of ancient and modern Greek and consulting several scholars of the language, we would like to propose the term “dermatodaxia” for the habit of biting or gnawing on one's own skin. It is appropriate to retain dermato-, the combining form of δε´ρμα, with the suffix -ato- to achieve “of the skin”. The addition of the Greek word daxia (-δηξıα), meaning “the act of biting,” gives us “dermatodaxia.”