Acne excoriee is a condition that begins as regular acne. It
is defined as the compulsive picking at acne blemishes and pimples. The main
physical problem with acne excoriee is that picking at zits is unhygienic and
can cause infection, worsening the skin condition considerably. The term
literally means picked pimple, and comes from the French “Acne Excoriee des
Jeunes Filles”, literally meaning “acne created by young girls”. It was given
its name because the active picking at pimples often worsens the condition
immensely, when the acne to begin with was not bad at all.
Acne excoriee commonly begins in adolescence, during times
of anxiety and low self-esteem. Patients with Acne excoriee may be acting
subconsciously, only becoming clear all their actions after noticing the
subsequent damage to the skin. The act of picking at the skin can also be
addictive and very difficult to stop, even when developing into picking at open
sores, thereby increasing the risk of infection.
Acne excoriee is often accompanied by more serious
conditions, including depression, anxiety, autism, attention deficit disorder
and other mood related conditions. One psychological explanation for the act of
picking at the skin is that they find it satisfying and, in a similar way to
self harm, the feel as though they are picking away at their emotional
problems. It has also been seen as a coping method for dealing with emotional
abuse and the subconscious method of diminishing their sex appeal in an effort
to remain a child.
This condition causes acne scarring, hyperpigmented spots where
there have been blemishes. Scarring occurs when the zits have been picked to
the point of permanent tissue damage.
With acne excoriee, the medical priority will be to diagnose
and treat any underlying anxiety or mood disorders. Hypnosis has been reported
to have good results. The condition is rarely resolved without therapy.
It’s important to note that the condition denotes excessive,
habitual picking at the skin and is not applicable to anyone who has ever
picked at a pimple.
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