'Skin Picking Disorder': A case report

Abstract

SUMMARYSkin picking disorder is not a dermatological disorder and it is a table characterized with picking skin excessively and repetitively, leading to damage in skin tissue. Unlike normal picking behaviour, psychogenic skin picking is repetitive and it can lead to severe damage in the skin and even compli-cations which constitute vital danger. While some patients define frequent but short lasting picking attacks, others define rarer attacks which last a few hours. Skin picking disorder, which is not included in the classification systems up to DSM-5 as a separate diagnosis category, is included as an independent diagnosis in Obsessive Compulsive Disorder and Associated Disorders category in DSM-5. In this study, the treatment of fluoxetine 40 mg/ day and olanzapine 10 mg/day in a 35-year-old female patient who admitted to our psychiatry outpatient clinic with obvious open sores on both arms and legs will be presented in the light of literature information.Key Words: Skin picking disorder, diagosis, treatment ÖZETDeri yolma bozukluðu, dermatolojik bir problem olmaksýzýn, deri dokusunda hasara neden olan, cildin aþýrý ve yineleyici þekilde yolunmasý ile karakterize bir tablodur. Normal yolma davranýþýndan farklý olarak psikojenik deri yolma yineleyicidir ve deride ciddi biçimde hasara hatta hayati tehlike oluþturacak sonuçlara neden olabilir. Bazý hastalar sýk ancak kýsa süren yolma ataklarý tanýmlarken, bazýlarý da daha seyrek olan ama birkaç saat süren ataklar tanýmlamaktadýr. Ruhsal bozukluklarýn tanýsal ve istatistiksel el kitabý (DSM) 5'e kadar sýnýflandýrma sistemlerinde ayrý bir taný kategorisi olarak yer almayan deri yolma bozukluðu DSM-5'de Obsesif Kompulsif Bozukluk ve Ýliþkili Bozukluklar kategorisinde baðýmsýz bir taný olarak yer almýþtýr. Bu çalýþmada psikiyatri polikliniðimize yüz, her iki kol ve bacakta belirgin açýk yaralarý olan deri yolma yakýnmasýyla baþvuran 35 yaþýndaki kadýn hastanýn fluoksetin 40 mg/gün, olanzapin 10 mg/gün olarak düzenlenen tedavisi literatür bilgileri ýþýðýnda tartýþýlmýþtýr.