Excoriations may be linear or focal. Excoriation (skin-picking) disorder (SPD) is a disabling, underrecognized condition in which individuals repeatedly pick at their skin, leading to noticeable tissue damage. Other BFRBs include pulling hair or picking nails. It is characterized by repeated picking at one’s own skin which results in skin lesions and causes significant disruption in one’s life. Also known as excoriation disorder and skin-picking disorder, dermatillomania is a psychological condition that manifests as repetitive, compulsive skin picking. It may be linear or punctate. Excoriation disorder is an obsessive-compulsive spectrum mental disorder that is characterized by the repeated urge or impulse to pick at one's own skin to the extent that either psychological or physical damage is caused. Excoriation disorder (also referred to as chronic skin-picking or dermatillomania) is a mental illness related to obsessive-compulsive disorder. Excoriation is a difficult condition to diagnose and treat because it is a type of mental disorder. Excoriation — a loss of the epidermis and a portion of the dermis due to scratching or an exogenous injury. Wound terms and definitions Effective communication between disciplines and between geographic areas is critical for quality care. Fissure — a split, crack, erosion or narrow ulceration of the skin. These will also be available on the WCET website. This term is also used in relation to a condition known as neurotic excoriation. As nouns the difference between abrasion and excoriation is that abrasion is the act of abrading, wearing, or rubbing off; the wearing away by friction while excoriation is the act of excoriating or flaying. EXCORIATION - A skin abrasion that is usually superficial and due to scratching of the skin. Erosion — a sore due to the superficial or partial destruction of surface tissue such as the skin. In 2015, JWCET will include common wound, ostomy and incontinence-related terms and definitions. Example: Neurotic excoriations from habitual picking. There are two main types of lesions: primary and secondary.This occurrence is quite common in adults and children, following a slip, fall or rub against a wall. It’s also called a body-focused repetitive behavior (BFRB). The compulsion can begin with the appearance a minor lesion on the skin, such as acne. It … 1 Psychosocial problems, reduced quality of life, and medical problems (eg, … WebMD explains the symptoms, treatment, and causes of skin picking disorder (excoriation), a condition in which people repeatedly try to pick at scabs, scars, and other areas of the skin. Skin-picking disorder is a repetitive “self-grooming” behavior. Neurotic excoriation is expressed as compulsive scratching. FISSURE - Sharply defined linear or wedge-shaped tears in the epidermis with abrupt walls. 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