title: Self-inflicted lesions in dermatology: terminology and classification--a position paper from the European Society for Dermatology and Psychiatry (ESDaP).
abstract: The terminology, classification, diagnosis and treatment of self-inflicted dermatological lesions are subjects of open debate. The present study is the result of various meetings of a task force of dermatologists, psychiatrists and psychologists, all active in the field of psychodermatology, aimed at clarifying the terminology related to these disorders. A flow chart and glossary of terms and definitions are presented to facilitate the classification and management of self-inflicted skin lesions. Several terms are critically discussed, including: malingering; factitious disorders; Münchausen's syndrome; simulation; pathomimicry; skin picking syndrome and related skin damaging disorders; compulsive and impulsive skin picking; impulse control disorders; obsessive compulsive spectrum disorders; trichotillomania; dermatitis artefacta; factitial dermatitis; acne excoriée; and neurotic and psychogenic excoriations. Self-inflicted skin lesions are often correlated with mental disorders and/or patho-logical behaviours, thus it is important for dermatologists to become as familiar as possible with the psychiatric and psychological aspects underlying these lesions.
authors.affiliation: Department of Psychosomatic Medicine, Justus Liebig University, Giessen, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Gieler
authors.forename: Sylvie G
authors.initials: SG
authors.lastname: Consoli
authors.forename: Lucía
authors.initials: L
authors.lastname: Tomás-Aragones
authors.forename: Dennis M
authors.initials: DM
authors.lastname: Linder
authors.forename: Gregor B E
authors.initials: GB
authors.lastname: Jemec
authors.forename: Francoise
authors.initials: F
authors.lastname: Poot
authors.forename: Jacek C
authors.initials: JC
authors.lastname: Szepietowski
authors.forename: John
authors.initials: J
authors.lastname: de Korte
authors.forename: Klaus-Michael
authors.initials: KM
authors.lastname: Taube
authors.forename: Andrey
authors.initials: A
authors.lastname: Lvov
authors.forename: Silla M
authors.initials: SM
authors.lastname: Consoli
mesh_terms: D003880:Dermatology; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000523:psychology*; D012867:Skin / Q000293:injuries*; D012871:Skin Diseases / Q000523:psychology*; D009626:Terminology as Topic