Psychogenic Parasitosis-Psychogenic Excoriation-Triamcinolone Acetonide-Psychiatric Disease

Self-induced facial excoriations and ocular trauma: a treatment dilemma

We present five unique cases of self-induced facial excoriations with psychiatric disease ranging from psychogenic excoriation to psychogenic parasitosis. Patient 1 presented with a vertical hypertrophic scar involving the forehead (figure 1A). The patient admitted to skin picking. Three years earlier, an abscess from repeated acne pustule manipulation required surgical drainage. The scar was injected with triamcinolone acetonide with improvement. Patient 2 presented with periocular lesions in various phases of healing (figure 1B). Biopsy at an outside institution revealed only inflammation. When queried about self-manipulation, the patient reported... (Source: British Journal of Ophthalmology) read more..

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