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Psychogenic excoriation responding to fluoxetine: a case report
1Department of Psychiatry, PS Medical College and SK Hospital, Karamsad 388325.
Journal of the Indian Medical Association
|October 3, 2008
Summary
Psychogenic excoriation, a compulsive skin picking disorder, affects 2% of dermatology patients. Treatment with fluoxetine and behavior therapy led to full recovery in a case study.
Area of Science:
- Psychodermatology
- Behavioral science
Background:
- Psychogenic excoriation (also known as neurotic excoriation or dermatotillomania) is a condition involving compulsive skin picking.
- It affects approximately 2% of dermatology patients, predominantly women, and can manifest with or without underlying skin pathology or itch.
Observation:
- A case of a young female patient presenting with multiple excoriated lesions on the face, arms, and forearms was observed.
- The lesions resulted from self-inflicted manipulation using various objects.
Findings:
- The diagnosis was confirmed as psychogenic excoriation, an uncommon psychodermatological condition.
- The patient received treatment combining fluoxetine (a selective serotonin reuptake inhibitor) and behavior therapy (habit reversal training).
Implications:
- This case highlights the effectiveness of pharmacotherapy and behavioral interventions in managing psychogenic excoriation.
- Early diagnosis and integrated treatment approaches are crucial for successful patient outcomes in psychodermatological conditions.
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