Acne Excoriée

 

Key features

 

·       Subset of excoriation disorder

 

·       Frequently seen in young women

 

·       Ritualistic picking of acne lesions

 

Clinical features and epidemiology

 

Acne excoriée is a subset of excoriation disorder (see above) in which the picking is directed at acne lesions. The underlying acne is often mild but accompanied by extensive excoriations that may lead to scarring. Acne excoriée is most frequently seen in young women, thus the description des jeunesfilles.

 

Management

 

Treatment includes comprehensive therapy for the underlying acne together with management of the obsessive–compulsive component and other psychological aspects as described above for excoriation disorder. Recurrence of even mild acne may be accompanied by resumption of picking unless the associated psychological disorder is addressed.

  

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