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Acne excoriée is a disease in which patients, usually young women, habitually pick or scratch efflorescences due to preexisting adolescent acne vulgaris. Acne excoriée is considered a psychoneurotic disease, with neurotic excoriations serving as a "protective device" or an "appeal for help."¹ Conventional treatment for acne vulgaris is usually ineffective for acne excoriée; both dermatologists and psychiatrists should be involved in recommending adequate dermatological treatment along with psychotherapy and tranquilizers. We describe the case of a 46-year-old woman with a long-standing history of acne excoriée, confirmed by several dermatologists, that finally was unmasked as herpetic folliculitis and syringitis.

Report of a Case

A 46-year-old, white, nonatopic woman who had not suffered from severe acne vulgaris in puberty developed acneiform lesions on her face at age 25 years. Subjective symptoms like palpitation, burning, and itching made her pick and squeeze these lesions. Numerous recurrences over the next 20 years led to considerable scar formation. The . . . [Full Text of this Article]

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