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There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
Onychotillomania can be categorized as a body-focused repetitive behavior in the DSM-5 and is a form of skin picking, also known as excoriation disorder. It can be associated with psychiatric disorders such as depressive neurosis, delusions of infestation [2] and hypochondriasis. [3] It was named by Jan Alkiewicz, a Polish dermatologist. [4]
[3] [1] People with this condition may have skin symptoms such as the urge to pick at one's skin (excoriation) or a sensation resembling insects crawling on or under the skin (formication). Morgellons disease is a related constellation of symptoms. This self-diagnosed condition is considered a form of a type of delusional parasitosis.
Treatment recommendations, as well as payment by health care providers, are often determined by DSM classifications, ... excoriation (skin-picking) disorder, ...
Excoriation: A punctate or linear abrasion produced by mechanical means (often scratching), usually involving only the epidermis, but commonly reaching the papillary dermis. [ 30 ] [ 33 ] Ulcer : An ulcer is a discontinuity of the skin exhibiting complete loss of the epidermis and often portions of the dermis.
The American Academy of Dermatology Association found that topical application of vitamin E showed improvement in symptoms associated with eczema, like “itching, redness, swelling, excoriation ...
The cause of BFRBs is unknown. [citation needed]Emotional variables may have a differential impact on the expression of BFRBs. [5]Research has suggested that the urge to repetitive self-injury is similar to a body-focused repetitive behavior but others have argued that for some the condition is more akin to a substance abuse disorder.
Diagramatic representation of mucosal erosion (left), excoriation (center), and ulceration (right) Simplistic representation of the life cycle of mouth ulcers. An ulcer (/ ˈ ʌ l s ər /; from Latin ulcus, "ulcer, sore") [2] is a break in the skin or mucous membrane with loss of surface tissue and the disintegration and necrosis of epithelial tissue. [3]