Self-inflicted lesions in dermatology: Terminology and classification - A position paper from the European Society for dermatology and psychiatry (ESDaP)

Uwe Gieler, Sylvie G. Consoli, Lucía Tomas-Aragones*, Dennis M. Linder, Gregor B.E. Jemec, Françoise Poot, Jacek C. Szepietowski, John De Korte, Klaus Michael Taube, Andrey Lvov, Silla M. Consoli

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstrakt

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 psychoder-matology, aimed at clarifying the terminology related to these disorders. A fow 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 arte-facta; factitial dermatitis; acne excoriée; and neurotic and psychogenic excoriations. Self-inflicted skin lesions are often correlated with mental disorders and/or pathological behaviours, thus it is important for dermatologists to become as familiar as possible with the psychiatric and psychological aspects underlying these lesions.

OriginalsprogEngelsk
Sider (fra-til)4-12
Antal sider9
TidsskriftActa Dermato-Venereologica
Vol/bind93
Udgave nummer1
DOI
StatusUdgivet - 3 jan. 2013

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