Neurotic excoriations: a review and some new perspectives.

摘要: Neurotic excoriation is a commonly encountered dermatologic syndrome, which usually associated with psychiatric pathology, most obsessive-compulsive traits and depression. This disorder typically runs chronic course. In addition to symptomatic treatments for the self-inflicted excoriations secondary pruritus, treatment this primarily psychiatric. spite of this, neurotic has received little attention in literature, probably reflecting lack adequate collaboration between dermatologist psychiatrist. article critically reviews literature on disorder, presents salient features five consecutive cases seen at psychiatry-dermatology liaison clinic our hospital. Possible etiology strategies previously unreported subgroup patients seemingly intractable symptoms are discussed. Further, review highlights fact that knowledge symptom complex important all psychiatrists, since it frequently “cutaneous sign” psychopathology. N EUROTIC EXCORIATION literature. ’ It syndrome where lesions produced by patient as result repetitive self-excoriations, absence underlying physical pathology2 association pathology. *,* Unlike other dermatoses, such dermatitis artefacta malingering, acknowledge nature their lesions. * The vary number, ranging from few several hundred. On occasion been suicide .l topical dermatological preparations used management cutaneous experience clinic, relatively common among both outpatients inpatients. Therefore, further understanding psychiatrist doing consultation work. Furthermore, psychopathology existence can aid overall assessment any patient. article, we present demographic clinical over 3-month period. All presented some consistent have implications not reported.