In 2015, JWCET will include common wound, ostomy and incontinence-related terms and definitions. Example: Neurotic excoriations from habitual picking. Neurotic excoriation is expressed as compulsive scratching. Excoriation — a loss of the epidermis and a portion of the dermis due to scratching or an exogenous injury. Excoriation of the skin refers to lesions on the surface of the skin, following a trauma. It is characterized by repeated picking at one’s own skin which results in skin lesions and causes significant disruption in one’s life. This term is also used in relation to a condition known as neurotic excoriation. Excoriations may be linear or focal. It’s also called a body-focused repetitive behavior (BFRB). Also known as excoriation disorder and skin-picking disorder, dermatillomania is a psychological condition that manifests as repetitive, compulsive skin picking. FISSURE - Sharply defined linear or wedge-shaped tears in the epidermis with abrupt walls. 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. These will also be available on the WCET website. Excoriation is a difficult condition to diagnose and treat because it is a type of mental disorder. Yet, different definitions may be used for the same term. The blood and fluids that emerge from the surface form a thin crust, resulting in a skin lesion. EXCORIATION - A skin abrasion that is usually superficial and due to scratching of the skin. Excoriation disorder (also referred to as chronic skin-picking or dermatillomania) is a mental illness related to obsessive-compulsive disorder. It … 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 (skin-picking) disorder (SPD) is a disabling, underrecognized condition in which individuals repeatedly pick at their skin, leading to noticeable tissue damage. The compulsion can begin with the appearance a minor lesion on the skin, such as acne. Fissure — a split, crack, erosion or narrow ulceration of the skin. Erosion — a sore due to the superficial or partial destruction of surface tissue such as the skin. Wound terms and definitions Effective communication between disciplines and between geographic areas is critical for quality care. Other BFRBs include pulling hair or picking nails. 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