Fried Richard G, Kroumpouzos George
Yardley Dermatology and Yardley Clinical Research Associates, Yardley, PA, USA -
Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, RI, USA.
G Ital Dermatol Venereol. 2018 Aug;153(4):516-524. doi: 10.23736/S0392-0488.18.05980-1. Epub 2018 Apr 18.
Management of patients who pick at their skin can be challenging. Etiologies and maintaining factors of skin picking are often unclear. Significant psychiatric overlay is often present, and the clinician is left with an overwhelming differential diagnosis and poorly focused management plans which can result in suboptimal clinical outcomes. The purpose of this article is to provide a conceptual framework for the evaluation and treatment of a patient presenting with excoriations. Ten diagnostic categories of pickers are described, and specific suggestions for treatment are offered.
对有皮肤搔抓行为的患者进行管理具有挑战性。皮肤搔抓的病因及维持因素往往不明确。通常还存在明显的精神障碍，这使得临床医生面临繁多的鉴别诊断以及针对性不强的管理计划，进而可能导致欠佳的临床结果。本文旨在为有皮肤擦伤表现的患者的评估和治疗提供一个概念框架。文中描述了搔抓者的十种诊断类别，并给出了具体的治疗建议。
