Acne excoriée is a disease in which patients, usually young women,habitually pick or scratch efflorescences due to preexisting adolescent acnevulgaris. Acne excoriée is considered a psychoneurotic disease, withneurotic excoriations serving as a "protective device" or an "appeal for help."1 Conventional treatment for acne vulgaris is usuallyineffective for acne excoriée; both dermatologists and psychiatristsshould be involved in recommending adequate dermatological treatment alongwith psychotherapy and tranquilizers. We describe the case of a 46-year-oldwoman with a long-standing history of acne excoriée, confirmed by severaldermatologists, that finally was unmasked as herpetic folliculitis and syringitis.
Brabek E, El Shabrawi-Caelen L, Woltsche-Kahr I, Soyer HP, Aberer W. Herpetic Folliculitis and Syringitis Simulating Acne Excoriée. Arch Dermatol. 2001;137(1):97-98. doi: