118 results match your criteria: "Neurotic Excoriations"
Prurigo Nodularis Mechanisms and Current Management Options.
Cutis
August 2024
Taylor A. Brown is from the Washington State University Elson S. Floyd College of Medicine, Spokane. Dr. Khachemoune is from the Department of Dermatology, Brooklyn VA Medical Center, New York, and SUNY Downstate Dermatology Service, Brooklyn.
Article Synopsis
- Prurigo nodularis (PN) is a skin condition characterized by itchy lesions that can severely affect a person's quality of life.
- Its symptoms can resemble those of other skin disorders, making diagnosis challenging and leading to potential misidentification.
- The treatment landscape for moderate to severe PN has improved with the FDA-approved medication dupilumab, and the review discusses PN's underlying mechanisms, tissue characteristics, and treatment options.
Excoriation Disorder Is Characterized by Systemic Glutamatergic Dysfunction.
J Invest Dermatol
September 2024
Department of Dermatology, University of Maryland School of Medicine, Baltimore, Maryland, USA; Maryland Itch Center, University of Maryland School of Medicine, Baltimore, Maryland, USA. Electronic address:
Dermatology urgent care model reduces costs and healthcare utilization for psychodermatology patients - a retrospective chart review.
Dermatol Online J
October 2022
Department of Dermatology, Oregon Health and Science University, Center for Health and Healing, Oregon, USA.
Article Synopsis
- A study was conducted to assess whether a dermatology urgent care model could decrease healthcare and emergency service utilization among patients with psychiatric dermatoses, such as Morgellons disease and neurotic excoriations.
- The results showed a significant reduction: an 88% decrease in overall healthcare visits and a 77% decrease in emergency room visits after patients engaged with the dermatology department.
- The findings suggest that adopting urgent care models in dermatology can help manage healthcare overuse in this patient population, although limitations exist in tracking all healthcare usage.
Pediatric skin picking disorder: A review of management.
Pediatr Dermatol
May 2022
Division of Dermatology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Article Synopsis
- - Skin picking disorder (SPD) usually starts in childhood, leading families to seek help from dermatologists for diagnosis and treatment.
- - Accurate identification and management of SPD by dermatologists are crucial due to the potential negative psychological effects on affected children.
- - The article reviews existing research on treating SPD in kids, focusing on behavioral methods, medications, and new skin barrier therapies to guide dermatologists in family education and treatment suggestions.
Factitial dermatitis in the hospital setting.
Arch Dermatol Res
April 2023
Division of Dermatology, Department of Internal Medicine, The Ohio State University, 1328 Dublin Road, Suite 100, Columbus, OH, 43212, USA.
Article Synopsis
- - Factitial Dermatitis (FD) is challenging to diagnose since patients create their own skin lesions and often give misleading medical histories.
- - A study at Ohio State University examined records from 2012 to 2017 and identified 32 patients with FD out of 189 candidates, finding a higher prevalence among females and lesions often on upper extremities.
- - Understanding the distinct patterns of FD presentation can lead to faster diagnoses and better resource management in hospitals, ultimately enhancing patient care.
When to Choose Paroxetine Treatment in Skin-Picking Disorder: A Case Report.
Clin EEG Neurosci
March 2023
A Private Clinic, Istanbul, Turkey.
Article Synopsis
- Skin picking disorder (SPD) involves compulsive skin scratching without a primary skin condition and is often linked to psychiatric issues like OCD and depression.
- A case study of a 32-year-old woman with SPD shows that after a four-week paroxetine treatment, her OCD symptoms reduced significantly, and her skin lesions healed completely, with only minor discoloration remaining.
- The study suggests that treating SPD when associated with OCD and abnormal EEG readings can lead to successful outcomes with paroxetine, indicating a need for further research in this area.
Parental neurotic excoriation injury of children: A case series of hidden physical abuse.
Pediatr Dermatol
July 2021
Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
Article Synopsis
- The study highlights that recognizable skin injuries in children, such as bruises and lacerations, can indicate physical abuse, including a new type related to parental skin picking.* -
- A case series of five children, all three years old or younger, showed that injuries from parental neurotic excoriation were confirmed by their condition and witness accounts, ruling out self-harm.* -
- The findings suggest that caregivers' compulsive skin picking can lead to significant harm in children, emphasizing the need to consider such behavior as a form of abuse while also noting potential long-term consequences.*
N-acetylcysteine for managing neurotic excoriation: encouraging results in two patients.
An Bras Dermatol
July 2021
Department of Dermatology, Faculty of Medicine, Başkent University, Ankara, Turkey. Electronic address:
Report of Two Psychodermatological Cases: Neurotic Excoriation and Dermatitis Artefacta.
Psychiatr Danub
September 2020
Department of Dermatology and Venereology, University Clinical Hospital Mostar, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.
Article Synopsis
- * Selective serotonin reuptake inhibitors (SSRIs) have shown effectiveness for PE, while other medications like doxepin and olanzapine also appear beneficial in individual cases.
- * A case study of a 59-year-old male with schizophrenia and severe PE highlighted the successful use of olanzapine alongside another medication, suggesting this combination may be effective for similar patients, meriting further investigation.
Skin Picking Successfully Treated With Atomoxetine in Comorbid Skin Picking and Attention-Deficit/Hyperactivity Disorder: A Case Report.
Clin Neuropharmacol
April 2021
Department of Child and Adolescent Psychiatry, Düzce University Faculty of Medicine, Düzce, Turkey.
Article Synopsis
- Skin picking disorder (SPD), also known as dermatillomania, is an obsessive-compulsive disorder characterized by involuntary skin picking behaviors.
- A case report highlights the successful treatment of a 9-year-old girl with both ADHD and SPD using atomoxetine, a medication typically used for ADHD.
- This is the first known instance of using atomoxetine for skin picking, suggesting the need for further research on its effectiveness for SPD, especially in patients with and without ADHD.
Repetitive Transcranial Magnetic Stimulation in the Treatment of Skin Picking Disorder: An Exploratory Trial.
J ECT
March 2020
From the Departments of Psychiatry.
Article Synopsis
- - The study aimed to evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) in treating skin picking disorder (SPD) among patients, as SPD is categorized under obsessive-compulsive disorders.
- - Fifteen patients participated in a 3-week trial, receiving either active rTMS or sham treatment, with response to treatment measured by a significant decrease in OCD-related symptoms.
- - Results showed that while 62.5% of the active group responded positively, this was not statistically different from the 33.3% response in the sham group, indicating the need for more extensive research on rTMS for SPD.
Should skin picking disorder be considered a diagnostic category? A systematic review of the evidence.
Aust N Z J Psychiatry
September 2019
1 Department of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
Article Synopsis
- - The study aimed to systematically review existing literature on skin picking disorder using criteria from Arnold and the DSM-5, assessing its potential as a distinct disorder in psychiatric manuals.
- - Researchers searched four databases for studies published between 2008 and 2018 that applied these diagnostic criteria, ultimately analyzing 20 eligible studies from a total of 1554.
- - The findings revealed that only one of the five criteria proposed by Blashfield for inclusion in the DSM-5 was met, indicating more research is needed to validate skin picking disorder as a standalone diagnosis.
Implementation of a psychodermatology clinic at a major health system in Detroit.
Int J Womens Dermatol
December 2018
Henry Ford Medical Center, Department of Dermatology, Detroit, Michigan, United States.
Article Synopsis
- * The authors discuss their experience establishing a psychodermatology clinic in Detroit, focusing on conditions like delusions of parasitosis and neurotic excoriations, particularly in patients with prior psychiatric histories.
- * The clinic serves a majority female population and aims to address the mental health needs of patients with skin disorders through collaboration among healthcare providers.
Excoriation (skin-picking) disorder: a systematic review of treatment options.
Neuropsychiatr Dis Treat
July 2017
SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, South Africa.
Article Synopsis
- Pathological skin-picking, also known as excoriation disorder, has been recognized in the medical field for a long time but was only recently classified as a distinct psychiatric disorder in major diagnostic manuals.
- Excoriation disorder involves recurrent skin-picking that causes skin lesions and significant distress, and it shares similarities with other obsessive-compulsive disorders like trichotillomania (hair-pulling).
- A systematic review of treatment options from 1996 to 2017 indicates that effective management includes behavioral therapies and medications like selective serotonin reuptake inhibitors and N-acetyl cysteine.
Obsessive-compulsive skin disorders: a novel classification based on degree of insight.
J Dermatolog Treat
June 2017
b Department of Dermatology, Psoriasis and Skin Treatment Center , University of California San Francisco, San Francisco , CA , USA.
Article Synopsis
- Individuals with obsessive-compulsive features often seek help from dermatologists for skin, hair, or nail issues, which can lead to chronic problems due to the difficulty in diagnosing their psychiatric symptoms.
- The DSM-5 classifies certain disorders like body dysmorphic disorder and trichotillomania as psychodermatological, but other skin conditions also have obsessive-compulsive traits that don't fully meet DSM-5 criteria.
- A new classification system, the Obsessive-Compulsive Insight Continuum, is proposed to help dermatologists categorize these conditions based on the patient’s level of insight, aiding in better diagnosis and management.
Article Synopsis
- Psychodermatologic disorders involve the complex interaction between mental health and skin conditions, categorized into three main groups: psychosomatic disorders, primary psychiatric disorders, and secondary psychiatric disorders.
- Psychosomatic disorders are skin diseases worsened by emotional stress but not directly caused by it, impacting conditions like eczema and acne, while primary psychiatric disorders arise from mental health issues that lead to skin changes, such as trichotillomania.
- Secondary psychiatric disorders result from visible skin diseases that cause psychological distress, affecting self-esteem and social interaction; effective treatment requires a multidisciplinary approach involving healthcare professionals from various fields.
Psychiatric Features in Neurotic Excoriation Patients: The Role of Childhood Trauma.
Noro Psikiyatr Ars
December 2015
Department of Dermatology, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
Article Synopsis
- * A study involving 38 patients with neurotic excoriation and 40 healthy controls found that a large majority of patients had psychiatric disorders, particularly major depression and anxiety, and reported significantly higher childhood trauma experiences.
- * The research highlights the need for integrated treatment approaches that involve both dermatologists and psychiatrists, emphasizing the importance of addressing childhood trauma to improve patient outcomes.
Skin changes in primary psychiatric disorders.
Acta Dermatovenerol Croat
January 2017
Professor Aleksandra Basta-Juzbašić, MD, PhD, Department of Dermatology and Venereology, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Šalata 4, 10000 Zagreb, Croatia;
Article Synopsis
- Skin changes in certain psychiatric disorders are often self-induced and include conditions like delusions of parasitosis and body dysmorphic disorder.* -
- Dermatologists frequently encounter these patients, who may not recognize the psychiatric roots of their symptoms, so understanding their underlying mental health issues is crucial for effective treatment.* -
- A gradual, supportive approach is important, with initial focus on building trust rather than confronting the patient about their self-induced lesions to ensure they accept further psychiatric care.*
The reconstructive challenges and approach to patients with excoriation disorder.
J Craniofac Surg
May 2015
Department of Plastic Surgery, Loma Linda University Medical Center, Loma Linda, CA.
Article Synopsis
- - Many mental and emotional disorders, like excoriation disorder (skin-picking), show physical signs, which can be the first indicator of the condition.
- - Excoriation disorder, involving repetitive skin scratching, is linked to mental health issues such as depression and obsessive-compulsive disorder, and is recognized as a distinct disorder in the DSM-5.
- - A 51-year-old woman's case highlights the need for a team approach in treating excoriation disorder, as she required intervention from dermatology, psychiatry, and surgery specialists.
Psychodermatology.
Adv Psychosom Med
June 2015
University of Arizona, College of Medicine, Tucson, Ariz., USA.
Article Synopsis
- Psychodermatology focuses on conditions that involve both skin issues and mental health disorders, highlighting the close relationship between dermatology and psychiatry.
- Up to one-third of patients with dermatologic diseases may have underlying psychiatric problems, complicating diagnosis and treatment since patients often don’t recognize the mental health aspect of their symptoms.
- The text outlines common psychodermatologic conditions, such as delusional infestation and trichotillomania, and provides diagnostic and therapeutic recommendations for better management of these challenging cases.
Obsessive-compulsive behaviour related cutaneous ulcers: two cases with therapeutic considerations.
Int Wound J
October 2016
Department of Pathology, Dental School, University of São Paulo, São Paulo, Brazil.
Article Synopsis
- Obsessive-compulsive-related skin conditions can include issues like trichotillomania (hair pulling), neurotic excoriations (skin picking), and nail biting, with a focus on two cases of severe self-inflicted skin wounds.
- Both patients, middle-aged females, had deep ulcers due to compulsive behaviors, which were effectively treated with high doses of fluoxetine, a type of antidepressant.
- Proper mental health diagnosis is crucial, as similar skin problems might stem from various mental issues, like anxiety or depression, requiring tailored treatment to ensure effective healing.
Augmentation of Venlafaxine with Aripiprazole in a Case of Treatment-resistant Excoriation Disorder.
Innov Clin Neurosci
January 2014
Mr. Turner is a third year medical student, Ms. Sutton is a fourth year medical student, and Dr. Sharma is Associate Professor of Consult/Liaison Psychiatry; all from University of Nebraska Medical Center, Psychiatry Department, Omaha, Nebraska.
Article Synopsis
- - A 21-year-old woman with excoriation disorder exhibited severe skin lesions and was resistant to typical treatments, with her condition linked to anxiety from her medical stay.
- - Combining aripiprazole, an antipsychotic, with venlafaxine, an antidepressant she's already taking, led to the resolution of her skin picking behavior.
- - The case suggests that this medication combination could be a potential option for treatment-resistant excoriation disorder, and further large-scale studies are recommended to explore this approach.
Dermatologic manifestations of fibromyalgia.
Clin Rheumatol
July 2014
Department of Dermatology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Article Synopsis
- This study aimed to identify common skin issues and dermatologic diagnoses among fibromyalgia patients at Mayo Clinic.
- A retrospective review of 845 patients revealed various skin-related symptoms, including hyperhidrosis in 32% and other unusual sensations in smaller percentages.
- Overall, no specific skin condition was notably prevalent in this group, except for the increased sweating observed in many patients.
["Factitious disorder and skin picking: Clinical approach". A case report].
Encephale
April 2014
Service de psychiatrie, CHU Hassan II, Fès, Maroc; Université Sidi Mohamed Ben Abdellah, faculté de médecine et de pharmacie de Fès, Fès, Maroc.
Article Synopsis
- * Treatment involved prescribing a mood stabilizer and an anxiolytic for 6 months, which helped reduce self-harming actions but did not alleviate her exaggerated hypochondriacal concerns.
- * The discussion highlights the complexity of diagnosing factitious disorder, especially when it coexists with other psychiatric issues like dermatillomania, indicating that the boundaries between these conditions are often blurred.