2015
DOI: 10.1007/s11882-015-0532-2
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The Other Itch That Rashes: a Clinical and Therapeutic Approach to Pruritus and Skin Picking Disorders

Abstract: Patients with skin picking disorders (SPDs) have historically been an under recognized and under treated group. Originally classified an impulse control disorder, skin picking disorder is now considered under the obsessive-compulsive disorder (OCD) and obsessive-compulsive-related disorder (OCRD) spectrum. Workup of SPD concentrates on differentiating this condition from primary skin disorders, systemic conditions associated with pruritus, and psychocutaneous syndromes. It is important to first address any und… Show more

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Cited by 8 publications
(8 citation statements)
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“…Individuals with anxiety tend to itch over time and this has implications for the therapeutic approach (97). Symptoms of obsessive compulsive disorder can manifest with CP, as seen in patients with skin picking (98,99). "Scalp itch" is often a symptom of depression or a precursor to psychosis.…”
Section: Pruritus In Psychiatric Diseasesmentioning
confidence: 99%
“…Individuals with anxiety tend to itch over time and this has implications for the therapeutic approach (97). Symptoms of obsessive compulsive disorder can manifest with CP, as seen in patients with skin picking (98,99). "Scalp itch" is often a symptom of depression or a precursor to psychosis.…”
Section: Pruritus In Psychiatric Diseasesmentioning
confidence: 99%
“…Although some researchers believe that the etiologies and main causes of the skin-picking disorder are unclear (22), paying attention to causes together with finding the best method to treat this disorder in childhood is essential since the skin-picking disorder is among disorders that last until adolescence and even adulthood. Cognitive-behavioral therapy is the first step in the treatment of the skin-picking disorder and, if necessary, it can be useful in the second step of the treatment (23,24). Moreover, given that the skin-picking disorder is a subclass of OCD, trying to treat OCD is a proper way to deal with its underlying disorders, including the skin-picking disorder.…”
Section: Discussionmentioning
confidence: 99%
“…35,36 The diff erent results between auto-reported and medical report suggest that many factors in each region could aff ect the validity of knowledge of the disease, the sociocultural characteristics of the population, dermatitis defi nition used, the prevalence of other skin conditions and other factors. 37 In tropical areas, one of the most highlight results of ISAAC phase 3 was the increasing prevalence of dermatitis compared with phase 1 and the high prevalence of dermatitis in Latin America countries. The higher frequency of current dermatitis among children 6 to 7 year-olds was observed in Barranquilla, Colombia with 24%.…”
Section: Comparison Of Isaac and Other Epidemiological Testsmentioning
confidence: 99%