Citation

Gieler U, Consoli SG, Tomás-Aragones L, Linder DM, Jemec GB, Poot F, Szepietowski JC, de Korte J, Taube KM, Lvov A, Consoli SM. Acta Derm. Venereol. 2013; 93(1): 4-12.

Affiliation

Department of Psychosomatic Medicine, Justus Liebig University, Giessen, Germany.

Copyright

(Copyright © 2013, Society for the Publication of Acta Dermato-Venereologica)

DOI

10.2340/00015555-1506

PMID

23303467

Abstract

The terminology, classification, diagnosis and treatment of self-inflicted dermatological lesions are subjects of open debate. The present study is the result of various meetings of a task force of dermatologists, psychiatrists and psychologists, all active in the field of psychodermatology, aimed at clarifying the terminology related to these disorders. A flow chart and glossary of terms and definitions are presented to facilitate the classification and management of self-inflicted skin lesions. Several terms are critically discussed, including: malingering; factitious disorders; Münchausen's syndrome; simulation; pathomimicry; skin picking syndrome and related skin damaging disorders; compulsive and impulsive skin picking; impulse control disorders; obsessive compulsive spectrum disorders; trichotillomania; dermatitis artefacta; factitial dermatitis; acne excoriée; and neurotic and psychogenic excoriations. Self-inflicted skin lesions are often correlated with mental disorders and/or patho-logical behaviours, thus it is important for dermatologists to become as familiar as possible with the psychiatric and psychological aspects underlying these lesions.

Language: en