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G Ital Dermatol Venereol. 2018 Aug;153(4):516-524. doi: 10.23736/S0392-0488.18.05980-1. Epub 2018 Apr 18.

Skin excoriations: picking apart the picker.

Author information

1
Yardley Dermatology and Yardley Clinical Research Associates, Yardley, PA, USA - dermshrink@gmail.com.
2
Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, RI, USA.
3
Department of Dermatology, Medical School of Jundiaí, São Paulo, Brazil.

Abstract

Management of patients who pick at their skin can be challenging. Etiologies and maintaining factors of skin picking are often unclear. Significant psychiatric overlay is often present, and the clinician is left with an overwhelming differential diagnosis and poorly focused management plans which can result in suboptimal clinical outcomes. The purpose of this article is to provide a conceptual framework for the evaluation and treatment of a patient presenting with excoriations. Ten diagnostic categories of pickers are described, and specific suggestions for treatment are offered.

PMID:
29667797
DOI:
10.23736/S0392-0488.18.05980-1
[Indexed for MEDLINE]

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