'Look Beyond Skin': Psychogenic Excoriation - A Series of Five Cases

Nirmal, Balakrishnan and Shenoi, Shrutakirthi D and Rai, Shweta and Sreejayan, Kongasseri and Savitha, Soman (2013) 'Look Beyond Skin': Psychogenic Excoriation - A Series of Five Cases. Indian Journal of Dermatology, 58 (3). p. 246. ISSN 0019-5154

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Abstract

Psychogenic excoriation is a condition where the patient picks the skin repetitively to produce excoriations. Treating this clinical entity is challenging as these patients often have an associated psychological abnormality. The five cases in this case series include two children and three adults. They presented with skin lesions ranging from excoriations and ulcers to scars and pigmentation. Detailed evaluation was done by clinical psychologist. Two cases had anxiety traits, one had alcohol dependence, one had difficult temperament and one had depressive symptoms. Habit reversal was introduced. Psychiatry referral was given for three cases and started on selective serotonin reuptake inhibitors. On follow-up, the urge to scratch reduced substantially and skin lesions were also improving. It is important to identify the underlying psychological disorder accounting for skin picking behavior. Incorporating psychotherapeutic techniques into clinical practice will improve the quality of life of many of these patients.

Item Type: Article
Uncontrolled Keywords: Acne, Excoriation, Habit reversal, Psychiatric, Psychological
Subjects: Medicine > KMC Manipal > Clinical Psychology
Medicine > KMC Manipal > Dermatology
Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Manipal
Date Deposited: 30 Apr 2013 09:09
Last Modified: 30 Apr 2013 09:09
URI: http://eprints.manipal.edu/id/eprint/79916

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