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.