Self-inflicted lesions in dermatology: terminology and classification--a position paper from the European Society for Dermatology and Psychiatry (ESDaP)

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 - Tomás-Aragones, Lucía

AU - Linder, Dennis M

AU - Jemec, Gregor B E

AU - Poot, Francoise

AU - Szepietowski, Jacek C

AU - de Korte, John

AU - Taube, Klaus-Michael

AU - Lvov, Andrey

AU - Consoli, Silla M

PY - 2013/1

Y1 - 2013/1

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 - Dermatology

KW - Humans

KW - Mental Disorders

KW - Self-Injurious Behavior

KW - Skin

KW - Skin Diseases

KW - Terminology as Topic

U2 - 10.2340/00015555-1506

DO - 10.2340/00015555-1506

M3 - Journal article

C2 - 23303467

SN - 0001-5555

VL - 93

SP - 4

EP - 12

JO - Acta Dermato-Venereologica

JF - Acta Dermato-Venereologica

IS - 1

ER -