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Pediatric skin picking disorder: A review of management
Michael N Nemeh1, Marcia Hogeling2
1University of Texas Southwestern Medical School, Dallas, Texas, USA.
Insights
Pediatric skin picking disorder (SPD) requires accurate diagnosis and treatment by dermatologists to mitigate negative psychosocial effects. This review covers behavioral, pharmacologic, and skin barrier treatments for children with SPD.
Area of Science:
- Pediatric dermatology
- Psychodermatology
- Behavioral science
Background:
- Skin picking disorder (SPD) frequently emerges in childhood.
- Families often seek dermatological evaluation for pediatric SPD.
- Untreated SPD can lead to significant psychosocial distress in children.
Purpose of the Study:
- To review current literature on managing SPD in pediatric patients.
- To equip dermatologists with knowledge for educating families and recommending treatments.
- To summarize evidence for various therapeutic approaches in pediatric SPD.
Main Methods:
- Literature review of studies on pediatric skin picking disorder management.
- Analysis of research on behavioral therapies for SPD.
- Evaluation of pharmacologic interventions for pediatric SPD.
- Review of emerging skin barrier treatments.
Main Results:
- Limited literature exists on pediatric SPD management.
- Behavioral and pharmacologic therapies show potential.
- Emerging skin barrier treatments warrant further investigation.
Conclusions:
- Dermatologists play a crucial role in diagnosing and managing pediatric SPD.
- A multimodal approach combining behavioral, pharmacologic, and skin barrier treatments may be beneficial.
- Further research is needed to establish optimal treatment guidelines for pediatric SPD.
Abstract:
Skin picking disorder (SPD) commonly presents in childhood; often, families will first turn to dermatologists for evaluation. It is imperative that dermatologists accurately diagnose and treat the disorder as children are vulnerable to face significant negative psychosocial impacts. This article reviews the limited literature on the management of SPD in pediatric patients to better prepare dermatologists for educating families and recommending treatment options. We discuss studies evaluating behavioral and pharmacologic therapies, as well as emerging skin barrier treatments.
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