Excoriation disorder

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Differential Diagnosis

• Neurodevelopmental disorders

• Prader-Willi syndrome
• Tourette's disorder

• Other obsessive-compulsive and related disorders

• Body dysmorphic disorder

• Other disorders
• Other medical conditions

• Acne
• Scabies

• Psychotic disorder

• Delusion
• Tactile hallucination

• Somatic symptom and related disorders

• Factitious disorder

• Substance/medication-induced disorders

• Cocaine

Epidemiology and Demographics

Prevalence

The prevalence of excoriation (Skin-Picking) disorder is 1,400 per 100,000 (1.4%) of the overall population.

Risk Factors

• Genetic predisposition
• obsessive-compulsive disorder(OCD)

Diagnostic Criteria

DSM-V Diagnostic Criteria for Excoriation (Skin-Picking) Disorder

“

A.Recurrent skin picking resulting in skin lesions. AND B.Repeated attempts to decrease or stop skin picking. AND C.The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. AND D.The skin picking is not attributable to the physiological effects of a substance (e.g.,cocaine) or another medical condition (e.g., scabies). AND E.The skin picking is not better explained by symptoms of another mental disorder (e.g., delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder, stereotypies in stereotypic movement disorder, or intention to harm oneself in non suicidal self-injury).

”

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