Acne excoriee-a case report of treatment using habit reversal

Abstract

Acne excoriée is a sell‐intflicted skin condition in which the sufferer has an urge to pick real or imagined acnieform lesions and which results in a worsening and spreading of the acne.¹ The condition differs from most artefactual dermatoses as the patient usually spontaneously admits the self‐inflicted nature of the condition. Although this condition is considered to he a neurotic manifestation of the patient, traditional psychiatric treatments have proved unsuccessful.²