A skin-picking disorder case report: a psychopathological explanation

We describe the case of a 44-year-old woman, without known previous psychiatric history, hospitalized after a significant hemorrhage caused by self-inflicted deep facial dermal lesions (with muscle exposition). Psychopathological possible explanations of this case, as in similar reviewed ones, are related to frustration, aggression, and impulsivity.

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Postpartum-onset and childhood sexual trauma in a patient with skin picking disorder: a case report

Psychiatry and Clinical Psychopharmacology ◽

10.1080/24750573.2017.1311468 ◽

2017 ◽

Vol 27 (2) ◽

pp. 199-201

Author(s):

Cagdas Oyku Memis ◽

Mustafa Kurt ◽

Bilge Dogan ◽

Doga Sevincok ◽

Levent Sevincok

Keyword(s):

Case Report ◽

Sexual Trauma ◽

Skin Picking ◽

Childhood Sexual Trauma ◽

Skin Picking Disorder

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Skin picking disorder in a woman with polyarteritis nodosa. Case report

Revista Colombiana de Psiquiatría (English ed ) ◽

10.1016/j.rcpeng.2018.03.008 ◽

2019 ◽

Vol 48 (4) ◽

pp. 261-265

Author(s):

Mariana Aranda ◽

Ginna Marcela Suárez ◽

Andrés Mauricio Henao ◽

Gabriel Fernando Oviedo

Keyword(s):

Case Report ◽

Polyarteritis Nodosa ◽

Skin Picking ◽

Skin Picking Disorder

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When to Choose Paroxetine Treatment in Skin-Picking Disorder: A Case Report

Clinical EEG and Neuroscience ◽

10.1177/15500594211073390 ◽

2022 ◽

pp. 155005942110733

Author(s):

Mehmet K. Arıkan ◽

Muazzez Ç. Oba ◽

Reyhan İlhan ◽

Mehmet C. Mat

Keyword(s):

Case Report ◽

Selective Serotonin Reuptake Inhibitors ◽

Treatment Success ◽

Skin Lesions ◽

Alpha Power ◽

Obsessive Compulsive ◽

Skin Picking ◽

Compulsive Disorder ◽

Skin Picking Disorder ◽

Paroxetine Treatment

Skin picking disorder (SPD) characterized by repetitive compulsive scratching in the absence of a primary skin disease is strongly associated with psychiatric comorbidities, including obsessive-compulsive disorder (OCD) and depression (MDD). Selective serotonin reuptake inhibitors (SSRIs) have been used in the treatment of SPD with variable success. Nevertheless, the optimum treatment choice for SPD is an issue for clinicians. This case report presents a 32-year-old female SPD patient treated with four-week paroxetine monotherapy. Based upon the clinical interview and standardized questionnaires, the patient was diagnosed with OCD with depressive features and Skin Picking Disorder. In addition to symptom severity scales, quantitative electroencephalography (qEEG) was also applied. Paroxetine treatment was started (titrated from 5 to 40 mg/day) and doubled each week. After four-week paroxetine monotherapy, OCD symptoms were diminished, and skin lesions were completely regressed leaving solely post inflammatory hyperpigmentation. Post-treatment qEEG assessment also showed a normalization of frontal alpha power and amplitude asymmetry. It can be concluded that if OCD includes SPD with abnormal EEG patterns; then the treatment success using paroxetine will be very high.

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