2016, Number 3
Dermatología Cosmética, Médica y Quirúrgica 2016; 14 (3)
Rivera EI, Arenas R
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ABSTRACTThe strong association between mind and skin has always been well established, which explains how, under certain circumstances, mental and emotional states leads to the onset of psycho- dermatologic disturbances and the proper response with different levels of intensity in the skin. Pathologic skin picking, also known as psychogenic or neurotic excoriation, is a chronic affection characterized by compulsive scratching, rubbing or carving the skin, causing lesions with important cosmetic repercussion contributing to other complications.
Several studies show the close relationship among skin picking and a broad spectrum of psychogenic disturbances which includes affective, alimentary, family and laboral aspects, and abuse of substances, with associated comorbidities in 100% of the cases, explaining why this entity is described with the obsessive compulsive disturbances and related disorders in DSM -5.
On these basis, it is obligated to consider its treatment as a multidisciplinary task, successfully covering the psycho-emotional area in complicity with pharmacologic and non-pharmacologic therapies, It is also imperative for dermatologists to get involved with at least one of the psychotherapeutic options and psychotropic agents, knowing that the early treatment has a positive social and psychological impact.