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[Skin picking disorder in clinical practice].

G Viaene, N van de Velde, H Tandt

    Tijdschrift Voor Psychiatrie
    |July 7, 2021
    PubMed
    Summary

    Skin picking disorder (SPD) is a mental health condition often overlooked by medical professionals. A severe case resulted in a man losing all upper teeth, highlighting the need for greater awareness and treatment focus.

    Area of Science:

    • Psychiatry
    • Dermatology
    • Mental Health

    Background:

    • Excoriation disorder, also known as skin picking disorder (SPD), is classified under mental disorders in the DSM-5.
    • Despite a prevalence of 1.4-5.7% in the general population, SPD remains underrecognized by many dermatologists and psychiatrists.

    Observation:

    • This report details a severe case of SPD in a male patient.
    • The patient experienced significant physical damage, including the loss of all upper incisors and canines due to compulsive skin picking.

    Findings:

    • The case illustrates the potential for severe physical sequelae from untreated Excoriation Disorder.
    • It underscores the importance of recognizing SPD as a distinct psychiatric condition with potential dermatological manifestations.

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    Implications:

    • Increased clinical awareness and diagnostic attention for Excoriation Disorder are crucial.
    • Further research into effective treatment strategies for severe SPD cases is warranted to prevent devastating outcomes.