Acne excoriée--a case report of treatment using habit reversal

Clin Exp Dermatol. 1989 Mar;14(2):163-4. doi: 10.1111/j.1365-2230.1989.tb00918.x.


Acne excoriée is a self-inflicted 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. 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 be a neurotic manifestation of the patient, traditional psychiatric treatments have proved unsuccessful.

Publication types

  • Case Reports

MeSH terms

  • Acne Vulgaris / psychology
  • Acne Vulgaris / therapy*
  • Adult
  • Female
  • Habits*
  • Humans
  • Psychotherapy
  • Self Mutilation / complications*
  • Self Mutilation / therapy