TY - JOUR
T1 - Self-inflicted lesions in dermatology
T2 - Terminology and classification - A position paper from the European Society for dermatology and psychiatry (ESDaP)
AU - Gieler, Uwe
AU - Consoli, Sylvie G.
AU - Tomas-Aragones, Lucía
AU - Linder, Dennis M.
AU - Jemec, Gregor B.E.
AU - Poot, Françoise
AU - Szepietowski, Jacek C.
AU - De Korte, John
AU - Taube, Klaus Michael
AU - Lvov, Andrey
AU - Consoli, Silla M.
PY - 2013/1/3
Y1 - 2013/1/3
N2 - 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.
AB - 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.
KW - Classification
KW - Dermatitis artefacta
KW - Impulse control disorders
KW - Obsessive-compulsive-spectrum disorders
KW - Self-inflicted skin lesions
KW - Self-injury
UR - http://www.scopus.com/inward/record.url?scp=84871678332&partnerID=8YFLogxK
U2 - 10.2340/00015555-1506
DO - 10.2340/00015555-1506
M3 - Article
C2 - 23303467
AN - SCOPUS:84871678332
SN - 0001-5555
VL - 93
SP - 4
EP - 12
JO - Acta Dermato-Venereologica
JF - Acta Dermato-Venereologica
IS - 1
ER -