Case Report: Excoriation Disorder

Authors

  • Riska Andriyani Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia https://orcid.org/0000-0002-0642-8839
  • Mustafa M. Amin Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Elmeida Effendy Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia https://orcid.org/0000-0002-9382-3609

DOI:

https://doi.org/10.3889/oamjms.2022.9240

Keywords:

Excoriation disorder, Dermatillomania, Psychogenic excoriation

Abstract

Background 

Excoriation disorder, known as pathological skin picking, dermatillomania, psychogenic excoriation, or neurotic excoriation, is a disorder characterized by a compulsive need to pluck one's skin, which leads to tissue damage. 

 

Case Report 

Excoriation disorders are usually found in about 12% of adolescents with psychiatric conditions. Approximately three-quarters of individuals who suffer from this disorder are women. This disorder is often found in adolescence, generally coincides with puberty or follows the onset of puberty. For some individuals, this disorder can occur recurrently for weeks, months, and years. Therefore, we specifically report the case of a 15-year-old adolescent suffering from excoriation disorder. 

 

Conclusion 

Non-immediate treatment of excoriation disorder leads to becoming a chronic disorder and often causes psychosocial dysfunction and medical problems that can be life-threatening. 

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References

American Psychiatric Association. Excoriation (Skin-picking) Disorder. In: Diagnosis and Statistical Manual of Mental Disorders. 5th ed. Arlington, Virginia: American Psychiatric Publishing; 2013. p. 254-7.

ICD-11. International Statistical Classification of Diseases and Related Health Problems: 11th Revision; 2021. p. 6-25.

Grant JE, Odlaug BL, Chamberlain SR, Keuthen NJ, Lochner C, Stein DJ. Skin picking disorder. Am J Psychiatry. 2012;169(11):1143- 9. https://doi.org/10.1176/appi.ajp.2012.12040508 PMid:23128921 DOI: https://doi.org/10.1176/appi.ajp.2012.12040508

Sadock BJ, Shadok VA, Ruiz P. Excoriation (skin-picking) disorder. In: Kaplan and Shadok’s Synopsis of Psychiatry Behavioral Sciences/Clinical Psychiatry. 11th ed. Philadelphia, PA: Wholters Kluwer; 2015. p. 434-6.

Lochner C, Roos A, Stein DJ. Excoriation (skin-picking) disorder: A systematic review of treatment options. Neuropsychiatr Dis Treat. 2017;13:1867-72. https://doi.org/10.2147/NDT.S121138 PMid:28761349 DOI: https://doi.org/10.2147/NDT.S121138

Torales J, Díaz NR, Barrios I, Navarro R, García O, O’Higgins M, et al. Psychodermatology of skin picking (excoriation disorder): A comprehensive review. Dermatol Ther. 2020;33(4):e13661. https://doi.org/10.1111/dth.13661 PMid:32447793 DOI: https://doi.org/10.1111/dth.13661

Odlaug BL, Grant JE. Pathologic skin picking. Am J Drug Alcohol Abuse. 2010;36(5):296-303. https://doi.org/10.3109/00952991003747543 PMid:20575652 DOI: https://doi.org/10.3109/00952991003747543

Grant JE, Odlaug BL, Chamberlain SR, Kim SW. A double-blind, placebo-controlled trial of lamotrigine for pathological skin picking: treatment efficacy and neurocognitive predictors of response. J Clin Psychopharmacol. 2010;30(4):396-403. https://doi.org/10.1097/JCP.0b013e3181e617a1 PMid:20531220 DOI: https://doi.org/10.1097/JCP.0b013e3181e617a1

Jafferany M, Patel A. Skin-picking disorder: A guide to diagnosis and management. CNS Drugs. 2019;33:337-46. https://doi.org/10.1007/s40263-019-00621-7 PMid:30877621 DOI: https://doi.org/10.1007/s40263-019-00621-7

Hawatmeh A, Al-khathee A. An unusual complication of dermatillomania. Quant Imajing Med Surg. 2017;7(1):166-8. https://doi.org/10.21037/qims.2016.12.02 PMid:28275574 DOI: https://doi.org/10.21037/qims.2016.12.02

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Published

2022-03-27

How to Cite

1.
Andriyani R, Amin MM, Effendy E. Case Report: Excoriation Disorder. Open Access Maced J Med Sci [Internet]. 2022 Mar. 27 [cited 2024 Feb. 23];10(T7):48-50. Available from: https://oamjms.eu/index.php/mjms/article/view/9240

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