Neurotic excoriations in Adult
Individuals who take street drugs, especially methamphetamines (crystal meth), are prone to neurotic excoriations. Pruritus-inducing drugs such as narcotics, especially heroin, may result in neurotic excoriations as well.
Patients with this disorder may have an increased risk of various general medical conditions.
L98.1 – Factitial dermatitis
247444006 – Excoriation of skin
- Evaluate for other causes of pruritus.
- Contact dermatitis
- Irritant contact dermatitis
- Prurigo nodularis
- Dermatitis herpetiformis
- Factitial dermatitis
- Acne excoriée
- Arthropod reaction
- Delusions of parasitosis
- Consider neuropathic injury in a localized area of large excoriation.
- Systemic disease, including neoplasms
- Factitious disorder or Munchausen syndrome by proxy is the intentional production or feigning of physical or psychological signs or symptoms by a patient's caregiver.
- Burns (see thermal or electrical burn; chemical burns are covered separately, by chemical agent)
- Neuropathic (eg, injection of trigeminal ganglion)
- Lesch-Nyhan syndrome (self mutilation by biting the lips, fingertips, and shoulders)