Within this classification are psychogenic skin excoriation, such as neurotic excoriation
, and acne excoriee.
Cognitive-behavioral techniques that address dysfunctional cognitions (thought patterns) or behaviors (actions) can be useful for skin disorders with a significant psychosomatic or behavioral component, such as the picking component of acne excoriee, scratching in atopic dermatitis, habits such as lip licking or biting, hyperhidrosis, lichen simplex chronicus, neurotic excoriations
, onychotillomania, trichotillomania, and psychosomatic triggering or exacerbation of urticaria.
The patients most likely to present to a dermatologist are those with delusions of parasitosis, factitial dermatitis, neurotic excoriations, trichotillomania, and borderline personality disorder.
Neurotic excoriations are breaks in the skin from picking or scratching.
It is a psychogenic, self-inflicted syndrome, the lesions of which resemble trichotillomania, neurotic excoriations
, and Munchausen syndrome.