Evaluation and treatment of "psychogenic" pruritus and self-excoriation.

SUNY Health Science Center, Brooklyn 11203.
Journal of the American Academy of Dermatology (Impact Factor: 4.91). 07/1994; 30(6):993-9. DOI: 10.1016/S0190-9622(94)70125-3
Source: PubMed

ABSTRACT Psychogenic pruritus and self-excoriation are diagnoses of exclusion. Elimination of traditional organic causes often leads the clinician to label a symptom as psychogenic in origin and limits treatment options. This article examines the organic and psychologic causes and concomitants of dermatologic conditions associated with pruritus and self-excoriation. An organized cognitive framework is presented to guide the clinician in the evaluation and treatment of these patients. Specific treatment options are offered and relevant psychopharmacologic agents are reviewed.

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