Acne excoriée presentation[7] Always consider diagnosis in acne not responding to treatment, atypical presentations and where scarring is predominant. Most of the lesions are excoriated papules with few obvious comedones. [patient.info]

Last reviewed 01/2018 Some features of acne exoriee are presented below: excoriation of existing or imagined acne lesions occurs in females more than males; mainly during late teenage years it has been suggested that the lesions are a protective device [gpnotebook.com]

Relevance of psychiatry in dermatology: Present concepts. Basavaraj KH, Navya MA, Rashmi R. Basavaraj KH, et al. Indian J Psychiatry. 2010 Jul;52(3):270-5. doi: 10.4103/0019-5545.70992. Indian J Psychiatry. 2010. PMID: 21180416 Free PMC article. [pubmed.ncbi.nlm.nih.gov]

(Presents an overview of available nondrug interventions for psychodermatologic disorders.) Gupta, MA, Gupta, AK. “Olanzapine may be an effective adjunctive therapy in the management of acne excoriée: a case report”. J Cutan Med Surg. vol. 5. [dermatologyadvisor.com]

• Nasal Ulcer

  Nasal ulceration can occur; trigeminal neuralgia can be a predisposing condition. [patient.info]

• Excoriation

  Neurotic Excoriation and Acne Excoriée In this article Neurotic excoriation Neurotic excoriation epidemiology Neurotic excoriation presentation Neurotic excoriation differential diagnosis Neurotic excoriation investigations Neurotic excoriation management [patient.info]

  Excoriation disorders are a distinct entity within the group of Obsessive-Compulsive (OCD) and Related Disorders. [aocd.org]

  Characteristic findings on physical examination Characteristic findings include excoriated acne lesions ranging from superficial excoriated lesions to deep excoriations and scarring (Figure 1). [dermatologyadvisor.com]

  Excoriated acne is a specific kind of acne with a unique cause. As the word excoriated implies; it tears and causes an urge to scratch the skin. You have an uncontrolled desire to pop and pick on the pimples continuously. [olivaclinic.com]

  What is acne excorie? Acne excorie is a term used to describe scratched or picked pimples. It may also be spelled the French way, acné excoriée. Acne excorie Most people squeeze or pick some of their spots in an attempt to be rid of them. [dermnetnz.org]

• Acne Vulgaris

  […] for six months, as for acne vulgaris; however, frequently response is poor. [patient.info]

  Acne, also known as acne vulgaris, is thought to be caused by multiple factors. Overproduction of a normal oil on the skin, called sebum, increases under the influence of hormones. [skinsight.com]

• Ulcer

  Nasal ulceration can occur; trigeminal neuralgia can be a predisposing condition. [patient.info]

  Ultimately, the repeated picking results in erosions, ulcerations, and long-term scarring with hyper or hypopigmentation. Prevalence of acne excoriée is unknown. [aocd.org]

• Pruritus

  From a psychogenic perspective, consider a more generalized pattern of neurotic excoriations (picking of normal skin in addition to or instead of acne lesions), delusions of parasitosis, factitious lesions, drug abuse causing pruritus, or repetitive behaviors [dermatologyadvisor.com]

• Acneiform Eruption

  Acne excoriée differential diagnosis[7, 9] Scabies Dermatitis herpetiformis Sterile eosinophilic pustulosis Gram-negative folliculitis Acneiform eruptions Delusions of parasitosis Dermatitis artefacta Acne excoriée management[8] Trial of systemic antibiotics [patient.info]

• Suggestibility

  Last reviewed 01/2018 Some features of acne exoriee are presented below: excoriation of existing or imagined acne lesions occurs in females more than males; mainly during late teenage years it has been suggested that the lesions are a protective device [gpnotebook.com]

  If there is evidence of excessive anxiety or depression, counseling may be suggested. Sometimes, anti-anxiety or anti-depressant medication may be prescribed. [skinsight.com]

  Reports suggest that olanzapine (2.5-5 mg daily for 2-4 weeks) may also be helpful. [patient.info]

• Compulsive Disorder

  disorder (bodily focused anxiety) Obsessive-compulsive disorder Anxiety disorders Individuals who are habituated to pick on their skin. [olivaclinic.com]

  Excoriation disorders are a distinct entity within the group of Obsessive-Compulsive (OCD) and Related Disorders. [aocd.org]

  However, 8 out 12 patients did not fulfill criteria for any DSM-III-R disorder. In particular, we could not find evidence for the assumption of underlying obsessive-compulsive disorders or body image disorders in acné excoriée. [pubmed.ncbi.nlm.nih.gov]

  Psychological comorbidities are common (for example, depression, anxiety, obsessive-compulsive disorder, body dysmorphic syndrome, eating disorders, kleptomania or borderline personality disorders). [patient.info]

  Persons with extremely symptomatic acne (pruritic or painful), obsessive-compulsive disorder (OCD), anxiety disorders, borderline and narcissistic personality disorders, and family history of “picking” are at risk. [dermatologyadvisor.com]

• Delusion

  Delusions of parasitosis. Dermatitis artefacta. Neurotic excoriation investigations[5] These are primarily to exclude other diagnoses and may include: FBC. Chemistry profile including fasting glucose. TFTs. [patient.info]

  […] occupational, or other areas of functioning Skin picking is not attributable to the physiologic effect of a substance (e.g. cocaine) or another medical condition (e.g. scabies) Skin picking is not better explained by symptoms of another mental disorder (e.g. delusions [aocd.org]

  From a psychogenic perspective, consider a more generalized pattern of neurotic excoriations (picking of normal skin in addition to or instead of acne lesions), delusions of parasitosis, factitious lesions, drug abuse causing pruritus, or repetitive behaviors [dermatologyadvisor.com]

• Anxiety Disorder

  disorder (bodily focused anxiety) Obsessive-compulsive disorder Anxiety disorders Individuals who are habituated to pick on their skin. [olivaclinic.com]

  Persons with extremely symptomatic acne (pruritic or painful), obsessive-compulsive disorder (OCD), anxiety disorders, borderline and narcissistic personality disorders, and family history of “picking” are at risk. [dermatologyadvisor.com]

• Trigeminal Neuralgia

  Nasal ulceration can occur; trigeminal neuralgia can be a predisposing condition. [patient.info]

• Neuralgia

  Nasal ulceration can occur; trigeminal neuralgia can be a predisposing condition. [patient.info]

Several types of laser treatments also help acne and are often used with other treatment methods; however, treatments are expensive, must be repeated for several months, and have variable efficacy. Insurance may not cover laser therapy. [skinsight.com]

Points to factor-in before proceeding with treatment – Treatment for Acne Excoriee varies depending on the severity of the acne condition. [olivaclinic.com]

Acne excoriée prognosis[8] The prognosis is similar to other forms of neurotic excoriation - ie it has a tendency to become chronic, although improvement can occur with treatment of underlying psychological illness. [patient.info]

Etiology Postulated causes include underlying psychopathology, genetic-learned familial behavior, and sporatic habit.It can be an expression of anger, rebellion, or self loathing. [dermatologyadvisor.com]

Neurotic excoriation epidemiology[1] It is seen in about 2% of dermatology clinic patients. [patient.info]

How Can Acne Excoriée Be Prevented? Acne Excoriée is mostly related to psychological factors which happen to work together with acne to give you scars and scabs on the skin. [olivaclinic.com]

Over-the-counter medications: All over-the-counter therapies listed below should be used as a preventive therapy, applied in a thin to moderate quantity to entire regions. [skinsight.com]

Yes—it’s treated through a combination of self-management, proper cleansing of the skin to prevent infections, therapy, and behavioral modifications. [womenshealthmag.com]