Keele Research Repository

There exists a wide spectrum of selfinduced skin disease that may present to primary care clinicians. At one end are commonly recognised entities, such as lichen simplex chronicus, nodular prurigo, and chronic atopic eczema perpetuated by habitual scratching. At the other end are a range of complex, multifactorial psychodermatological conditions that are challenging to diagnose and manage. This article focuses on skin-picking disorder (SPD), trichotillomania, and dermatitis artefacta (DA), to assist primary care clinicians in managing these conditions effectively.