‘Look Beyond Skin’: Psychogenic Excoriation - A Series of Five Cases
A 35-year-old lady presented with complaints of scratching of face, arms, chest and upper back of ten years duration. The urge to scratch the face, arms, chest and upper back increased when she was idle.\nExcoriations and scarring were present over more accessible areas including back, chest and extremities []. There was a history of depression and suicide in her brother. She used to get recurrent thoughts of her demised brother and was found to have anxiety traits. Oral doxepin 25 mg/day was started and habit reversal technique was taught.\nPatient was maintaining well at 2-month follow-up. She was recording the urge to pick in a diary and was practicing habit reversal at home.