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Review
. 2017 Jul 14:13:1867-1872.
doi: 10.2147/NDT.S121138. eCollection 2017.

Excoriation (skin-picking) disorder: a systematic review of treatment options

Christine Lochner  1 , Annerine Roos  1 , Dan J Stein  2
Affiliations
Review

Excoriation (skin-picking) disorder: a systematic review of treatment options

Christine Lochner et al. Neuropsychiatr Dis Treat. .

Abstract

Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed International Classification of Diseases, Eleventh Revision, excoriation (skin-picking) disorder (ED), also known as neurotic excoriation, psychogenic excoriation, or dermatillomania), is described as recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. ED is listed as one of the obsessive-compulsive and related disorders, given its overlap with conditions such as trichotillomania (hair-pulling disorder). Arguably, its inclusion and delineation in the diagnostic nomenclature will lead to increased awareness of the condition, more research, and ultimately in treatment advances. This systematic review aims to provide readers with an up-to-date view of current treatment options for ED. A MEDLINE search of the ED treatment literature was conducted to collate relevant articles published between 1996 and 2017. The findings indicate that a number of randomized controlled trails on ED have now been published, and that current management options include behavioral therapy (habit reversal or acceptance-enhanced behavior therapy), and medication (selective serotonin reuptake inhibitors or N-acetyl cysteine).

Keywords: behavioral therapy; excoriation; habit reversal therapy; pharmacotherapy; skin-picking; systematic review; treatment.

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Conflict of interest statement

Disclosure Dr Stein has received research grants and/or consultancy honoraria from Abbott, AstraZeneca, Eli-Lilly, GlaxoSmithKline, Jazz Pharmaceuticals, Johnson & Johnson, Lundbeck, Orion, Pfizer, Pharmacia, Roche, Servier, Solvay, Sumitomo, Takeda, Tikvah, and Wyeth. The other authors report no conflicts of interest in this work.

References

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