Gieler, Uwe2; Consoli, Sylvie G3; Tomás-Aragones, Lucía3; Linder, Dennis M3; Jemec, Gregor B E4; Poot, Francoise3; Szepietowski, Jacek C3; de Korte, John3; Taube, Klaus-Michael3; Lvov, Andrey3; Consoli, Silla M3
1 Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Københavns Universitet2 Justus Liebig University Giessen3 unknown4 Department of Clinical Medicine, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Københavns Universitet
terminology and classification--a position paper from the European Society for Dermatology and Psychiatry (ESDaP)
The terminology, classification, diagnosis and treatment of self-inflicted dermatological lesions are subjects of open debate. The present study is the result of various meetings of a task force of dermatologists, psychiatrists and psychologists, all active in the field of psychodermatology, aimed at clarifying the terminology related to these disorders. A flow chart and glossary of terms and definitions are presented to facilitate the classification and management of self-inflicted skin lesions. Several terms are critically discussed, including: malingering; factitious disorders; Münchausen's syndrome; simulation; pathomimicry; skin picking syndrome and related skin damaging disorders; compulsive and impulsive skin picking; impulse control disorders; obsessive compulsive spectrum disorders; trichotillomania; dermatitis artefacta; factitial dermatitis; acne excoriée; and neurotic and psychogenic excoriations. Self-inflicted skin lesions are often correlated with mental disorders and/or patho-logical behaviours, thus it is important for dermatologists to become as familiar as possible with the psychiatric and psychological aspects underlying these lesions.
Acta Dermatovenereologica, 2013, Vol 93, Issue 1, p. 4-12