Related Experiment Video
Updated: Apr 12, 2026
07:56
A Full Skin Defect Model to Evaluate Vascularization of Biomaterials In Vivo
Published on: August 28, 2014
13.0K
The reconstructive challenges and approach to patients with excoriation disorder
Izabela A Galdyn1, Jeremy Chidester, Mark C Martin
1Department of Plastic Surgery, Loma Linda University Medical Center, Loma Linda, CA.
The Journal of Craniofacial Surgery
|May 15, 2015
Summary
Excoriation (skin-picking) disorder, a condition with physical skin manifestations, is often misdiagnosed. Early recognition and a multidisciplinary approach are crucial for effective management of this disorder.
Area of Science:
- Psychiatry
- Dermatology
- Psychosomatic Medicine
Background:
- Excoriation disorder, also known as skin-picking disorder, presents with physical skin manifestations that can be the initial sign of a mental health condition.
- This disorder, recognized in dermatologic literature since 1920, involves repetitive scratching and is frequently linked to depression, anxiety, and obsessive-compulsive disorder.
Observation:
- Skin lesions in excoriation disorder can be shallow with crusts, mimicking acne, and may heal with atrophic white scars.
- Patients often seek dermatological or plastic surgery consultation before psychiatric evaluation due to the visible skin symptoms.
Findings:
- Excoriation disorder is classified as a distinct disorder associated with obsessive-compulsive disorder in the DSM-5.
- A case study highlights the need for a multidisciplinary approach, involving dermatology, neurosurgery, psychiatry, and plastic surgery, for comprehensive patient care.
Implications:
- Recognizing the diagnostic features of excoriation disorder is vital for healthcare professionals, particularly dermatologists and plastic surgeons.
- A collaborative, multidisciplinary strategy is essential for accurate diagnosis and effective management of patients with skin-picking disorder.
Related Concept Videos
01:19Clinical Applications of Epidermal Stem Cells
3.4K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
3.4K
01:28Anorexia Nervosa
2.0K
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
2.0K
01:22Burn Injuries
5.0K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
5.0K
01:24Operant Conditioning Intervention
663
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
663
01:26Modeling in Therapy
744
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
744
01:23Binge Eating Disorders
808
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
808