Excoriated acne

Excoriated acne is a type of acne that is characterized by skin picking or scratching. Excoriated acne, also known as picker’s acne, is a condition where a person compulsively picks, squeezes, and scratches at their acne, causing further irritation and damage to the skin. This can lead to the development of scarring, hyperpigmentation, and increased inflammation.

This behavior can lead to the formation of open wounds or scabs on the skin. The affected area may also appear red and inflamed. Excoriated acne is often caused by a combination of factors, including psychological conditions such as anxiety or depression, as well as skin conditions such as eczema or psoriasis. Treatment for excoriated acne typically involves addressing the underlying causes, as well as addressing the physical symptoms through the use of topical creams, antibiotics, and other medications. In severe cases, therapy or counseling may be recommended to address the psychological factors that contribute to the condition.

Causes

The main causes of excoriated acne include:

  1. Anxiety and stress: People who suffer from anxiety or stress may develop compulsive behaviors such as skin picking, which can lead to excoriated acne.
  2. Impaired impulse control: People with conditions such as obsessive-compulsive disorder (OCD) or trichotillomania (compulsive hair pulling) may have difficulty controlling the impulse to pick at their skin.
  3. Hormonal changes: Hormonal fluctuations, such as those that occur during adolescence or pregnancy, can cause an increase in oil production and acne. This can lead to a person feeling compelled to pick at their acne.
  4. Poor skin care: Using harsh or irritating products on the skin can lead to dryness, itching, and redness, which can make a person more likely to pick at their skin.
  5. Lack of proper treatment: Not treating acne effectively can lead to a person feeling frustrated and compelled to pick at their acne in an attempt to clear it up.

It is important to seek treatment for excoriated acne, as it can lead to long-term damage to the skin. This may include therapy, medication, and proper skincare routine.

Symptoms

The main symptoms of excoriated acne include:

  1. Inflammation and redness: The skin around the affected area may appear red, swollen, and irritated due to the constant picking and scratching.
  2. Scars: The constant picking can lead to the formation of scars on the skin, which can be difficult to heal.
  3. Bruising: The constant picking and scratching can cause bruising around the affected area.
  4. Acne lesions: The picking and scratching can cause the formation of new acne lesions, making the condition worse.
  5. Itching: The constant picking and scratching can cause itching, making it difficult to resist the urge to pick.
  6. Social embarrassment: Excoriated acne can be unsightly and can cause individuals to feel self-conscious and embarrassed in social situations.
  7. Psychological distress: Individuals with excoriated acne may experience psychological distress, such as anxiety and depression, due to the condition.

Diagnosis

Excoriated acne is a type of acne that occurs when the individual picks or scratches at their acne lesions, causing them to become irritated and inflamed. This can lead to the formation of scarring and discoloration of the skin. It is important to refrain from picking or scratching at acne to prevent the development of excoriated acne. Treatment options may include the use of topical creams or antibiotics to reduce inflammation and the risk of infection. In severe cases, a dermatologist may recommend laser therapy or surgery to reduce scarring.

Treatment

The main treatment for excoriated acne involves addressing the underlying behavioral issue of skin picking, as well as addressing any underlying skin conditions such as acne.

  1. Behavioral therapy: This may include cognitive behavioral therapy, habit reversal training, or other forms of therapy to help the individual understand and change their skin picking behavior.
  2. Medications: Topical or oral antibiotics may be prescribed to help clear up any existing acne. Topical retinoids may also be prescribed to help improve skin texture and reduce scarring.
  3. Skincare routine: A gentle skincare routine that includes a mild cleanser, moisturizer, and sunscreen is important to help promote healthy skin. Avoiding harsh scrubs or exfoliants is also important to prevent further damage to the skin.
  4. Cover-up: Concealers or camouflage creams may be recommended to help hide any scarring or discoloration caused by excoriated acne.
  5. Dermatologist consultation: It is essential to seek professional help from a dermatologist to determine the best course of treatment for your skin condition.

It is important to remember that treating excoriated acne can take time and patience. Consistency with treatment and following a skincare routine is essential to see improvement. Additionally, addressing and treating any underlying mental health issues is essential to addressing the underlying behavioral issue of skin picking.

 

  1. https://www.ncbi.nlm.nih.gov/books/NBK11733/
  2. https://www.ncbi.nlm.nih.gov/books/NBK208/
  3. https://www.ncbi.nlm.nih.gov/books/NBK212/
  4. https://www.ncbi.nlm.nih.gov/books/NBK92761/
  5. https://www.ncbi.nlm.nih.gov/books/NBK11733/
  6. https://www.nccih.nih.gov/health/skin-conditions-at-a-glance
  7. https://www.aad.org/public/diseases/a-z
  8. https://medlineplus.gov/skinconditions.html
  9. https://www.aad.org/about/burden-of-skin-disease
  10. https://www.usa.gov/federal-agencies/national-institute-of-arthritis-musculoskeletal-and-skin-diseases
  11. https://www.cdc.gov/niosh/topics/skin/default.html
  12. https://www.skincancer.org/
  13. https://www.jaad.org/
  14. https://www.psoriasis.org/about-psoriasis/
  15. https://books.google.com/books?
  16. https://www.niams.nih.gov/health-topics/skin-diseases
  17. https://cms.centerwatch.com/directories/1067-fda-approved-drugs/topic/292-skin-infections-disorders
  18. https://www.fda.gov/files/drugs/published/Acute-Bacterial-Skin-and-Skin-Structure-Infections—Developing-Drugs-for-Treatment.pdf
  19. https://dermnetnz.org/topics
  20. https://www.aaaai.org/conditions-treatments/allergies/skin-allergy
  21. https://www.sciencedirect.com/topics/medicine-and-dentistry/occupational-skin-disease
  22. https://aafa.org/allergies/allergy-symptoms/skin-allergies/
  23. https://www.nibib.nih.gov/
  24. https://rxharun.com/rxharun/rxharun/article-types/skin-care-beauty/skin-diseases-types-symptoms-treatment/
  25. https://www.nei.nih.gov/
  26. https://en.wikipedia.org/wiki/List_of_skin_conditions
  27. https://en.wikipedia.org/?title=List_of_skin_diseases&redirect=no
  28. https://en.wikipedia.org/wiki/Skin_condition
  29. https://oxfordtreatment.com/
  30. https://www.nidcd.nih.gov/health/
  31. https://consumer.ftc.gov/articles/w
  32. https://www.nccih.nih.gov/health
  33. https://catalog.ninds.nih.gov/
  34. https://www.aarda.org/diseaselist/
  35. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets
  36. https://www.nibib.nih.gov/
  37. https://www.nia.nih.gov/health/topics
  38. https://www.nichd.nih.gov/
  39. https://www.nimh.nih.gov/health/topics
  40. https://www.nichd.nih.gov/
  41. https://www.niehs.nih.gov
  42. https://www.nimhd.nih.gov/
  43. https://www.nhlbi.nih.gov/health-topics
  44. https://obssr.od.nih.gov/
  45. https://www.nichd.nih.gov/health/topics
  46. https://rarediseases.info.nih.gov/diseases
  47. https://beta.rarediseases.info.nih.gov/diseases
  48. https://orwh.od.nih.gov/

References