[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.147.238.168. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 1992

Pharmacologic Treatment of Severe Skin-Picking Behaviors in Prader-Willi SyndromeTwo Case Reports

Author Affiliations

From the Departments of Psychiatry (Dr Warnock) and Dermatology (Dr Kestenbaum), University of Kansas Medical Center, Kansas City.

Arch Dermatol. 1992;128(12):1623-1625. doi:10.1001/archderm.1992.04530010061009
Abstract

• Background.  —Prader-Willi syndrome (PWS) is characterized by hypotonia at birth, hypogonadism, early childhood obesity, and mental deficiency. Other behavioral symptoms that become prominent during adolescence and adulthood include temper outbursts, stealing and hoarding food, and skin picking. The self-excoriating skin picking behavior observed in individuals with PWS is quite common and can lead to persistent sores and infections, even requiring hospitalization.

Observation.  —Two patients with PWS who displayed repetitive, self-mutilatory behavior of skin picking are described. They were both treated successfully with different doses of fluoxetine, a selective serotonin reuptake inhibitor.

Conclusions.  —The skin-picking behavior in patients with PWS may be a variant of the spectrum of obsessive-compulsive disorders. Obsessive-compulsive disorders have been successfully treated with serotonin reuptake inhibitors such as fluoxetine. Thus, fluoxetine may be considered an opon in the management of skin-picking behavior in patients with PWS.

×