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NEUROTIC EXCORIATION AND THE RELATIONSHIP WITH PSYCHOLOGICAL ASPECTS: A SYSTEMATIC REVIEW
  • Dr. Idiberto Jose Zotarelli Filho, MSc, Ph.D
Dr. Idiberto Jose Zotarelli Filho, MSc, Ph.D

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Abstract

Among psychiatric dermatoses, neurotic excoriation is characterized by the patient's confession of causing lesions on the skin itself, without presenting a basic dermatological disease. The theme has been gaining prominence since the incorporation of the diagnosis in the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-5, APA 2014). However, it was found that the subject has been scarcely addressed in the literature since not all cases are diagnosed and this pathology has more than one denomination (excoriation disorder, pathological palpation of the skin, neurodermatitis, dermatotillomania, and psychogenic excoriation). Therefore, the present study addressed the main clinical findings in research studies, through a systematic review, on neurotic excoriation, in addition to valuing the importance of psychological aspects in etiopathogenesis.
 
Keywords: Neurotic excoriation. Excoriation disorder. Itching. Skin picking. Dermatotillomania.